IRINA ELLYSE ARIELLE BACK

NEGAUNEE, MI
NPI1922614627
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2020-09-17
Last Update Date2020-09-17
Business Address
IRINA ELLYSE ARIELLE BACK
104 MALTON RD
NEGAUNEE, MI 49866-2000
Phone number: 906-228-4692
Mailing Address
IRINA ELLYSE ARIELLE BACK
97 S 4TH ST STE C
ISHPEMING, MI 49849-2168
Phone number: 906-228-9699
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