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1851556575
KATHERINE IBACH
PONTIAC, MI
NPI
1851556575
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2008-07-22
Last Update Date
2008-07-22
Business Address
-- KATHERINE IBACH
534 FRANKLIN RD
PONTIAC, MI 48341-2527
Phone number: 248-338-0702
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Mailing Address
-- KATHERINE IBACH
534 FRANKLIN RD
PONTIAC, MI 48341-2527
Phone number:
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