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Individual

ELIZABETH BARTHOL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
22438 LANSE ST, SAINT CLAIR SHORES, MI 48081-1369
(586) 360-7252
(586) 360-7252
Mailing address
22438 LANSE ST, SAINT CLAIR SHORES, MI 48081-1369
(586) 360-7252

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401014769
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
14191895
MI
01
6401014769
STATE OF MI LPC
Enumeration date
01/11/2018
Last updated
02/19/2018
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