Individual
IRENE FOUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2830 CORUNNA RD, FLINT, MI 48503-3254
(810) 235-6812
(810) 234-7022
Mailing address
70 LAFAYETTE ST, PONTIAC, MI 48342-2033
(248) 338-7458
(248) 338-7513
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
04/08/2008
Last updated
04/08/2008
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