Individual
MS. KRISTIN NICOLE LUBS EAGLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.P.C.
Contact information
Practice address
400 W MAIN ST, GAYLORD, MI 49735-1876
(989) 390-9991
Mailing address
5677 POTAWATOMI CT, GAYLORD, MI 49735-8729
(989) 390-9991
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6401012646
MI
Other
Enumeration date
08/18/2011
Last updated
05/03/2016
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