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Individual

FATIMA QUIBELLA MAYO-HILL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
467 N STATE ST, CARO, MI 48723-1539
(989) 673-5700
(989) 672-2017
Mailing address
443 N STATE ST, CARO, MI 48723-1539
(989) 672-6160
(989) 672-5649

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401010709
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
20593
BCBS SUBSTANCE ABUSE
MI
Enumeration date
04/27/2010
Last updated
04/27/2010
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