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NPI Code Detail

MEDICARE: EBONY DUNIGAN LLMFT

MEDICARE: EBONY DUNIGAN LLMFT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106H00000XMarriage & Family Therapist4101006683MI

General Provider Information

NPI Number : 1841652427
Entity Type Code : Individual
Provider Name (Legal Business Name) : EBONY DUNIGAN LLMFT
Provider Business Mailing Address
First Line : 2518 PROCTOR AVE
Second Line :
City : FLINT
State : MI
Zip : 48504-2857
Country : US
Telephone Number : 231-580-6513
Fax Number :
Provider Business Practice Location Address
First Line : 2242 E MAPLE AVE
Second Line : #207
City : FLINT
State : MI
Zip : 48507-4420
Country : US
Telephone Number : 810-771-8948
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/23/2016
Last Update Date : 03/23/2016

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Directions to “ EBONY DUNIGAN LLMFT” Practice Location

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