| Kathryn C Longenbarger | |
|
3554 South Custer Road Monroe MI 48161-9774 | |
| (734) 770-2420 | |
| Not Available |
| Full Name | Kathryn C Longenbarger |
|---|---|
| Speciality | Counselor - Professional |
| Location | 3554 South Custer Road, Monroe, Michigan |
| Authorized Official Name and Position | Kathryn C Longenbarger (OWNER) |
| Authorized Official Contact | 7347702420 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kathryn C Longenbarger 845 Tanner Landing Monroe MI 48161-4588 Ph: (734) 770-2420 | Kathryn C Longenbarger 3554 South Custer Road Monroe MI 48161-9774 Ph: (734) 770-2420 |
| NPI Number | 1689926081 |
|---|---|
| Provider Enumeration Date | 10/09/2012 |
| Last Update Date | 10/09/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689926081 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 640102636 (Michigan) | Primary |
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