Individual
ANGELA NICHOLE VANBLARICUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LLC
Contact information
Practice address
411 W BROADWAY ST, MOUNT PLEASANT, MI 48858-2444
(989) 779-8999
Mailing address
411 W BROADWAY ST, MOUNT PLEASANT, MI 48858-2444
(989) 779-8999
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6451023339
MI
Other
Enumeration date
01/25/2024
Last updated
01/25/2024
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