Individual
LAURA CONDIT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
43825 MICHIGAN AVE, CANTON, MI 48188-2551
(734) 397-3088
Mailing address
337 GREEN HILLS DR., SALINE, MI 48176
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6401014494
MI
Other
Enumeration date
09/18/2014
Last updated
09/18/2014
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