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Individual

ANGELA BENDER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MA, LPC

Contact information

Practice address
391 39TH ST, ALLEGAN, MI 49010-9135
(269) 569-1487
Mailing address
391 39TH ST, ALLEGAN, MI 49010-9135
(269) 569-1487

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6401007879
MI

Other

Enumeration date
08/22/2012
Last updated
08/22/2012
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