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Individual

MRS. AMY KATHERINE DAGENAIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
2353 BADGER STREET, MARQUETTE, MI 49855-2303
(906) 273-1121
(906) 225-6706
Mailing address
2353 BADGER STREET, MARQUETTE, MI 49855-2303
(906) 273-1121
(906) 225-6706

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401223118
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
VS0137654
MI
Enumeration date
01/21/2020
Last updated
12/20/2022
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