Individual
MS. CAROLYN ANN SURLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BS
Contact information
Practice address
6379 DIXIE HWY, BRIDGEPORT, MI 48722-9566
(989) 777-8570
(898) 777-8620
Mailing address
6379 DIXIE HWY, BRIDGEPORT, MI 48722-9566
(989) 777-8570
(898) 777-8620
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
09/01/2010
Last updated
09/01/2010
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