Individual
LAURIE LABIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
242 HIGHLANDER DR NE, ROCKFORD, MI 49341-7325
(586) 295-1674
Mailing address
242 HIGHLANDER DR NE, ROCKFORD, MI 49341-7325
(586) 295-1674
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
AS410383295
MI
Other
Enumeration date
03/08/2017
Last updated
03/08/2017
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