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NPI Profile for BARBARA S FASULO EMMOTT in TRAVERSE CITY, MI.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Professional |
101YP2500X |
| NPI # | 1487849667 |
|
| Status | Active | |
| Credentials | LPC, CCS-M | |
| Entity | Individual | |
| Enumeration date | 09/11/2007 | |
| Last updated | 12/02/2013 - About 13 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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BARBARA S FASULO EMMOTT
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BARBARA S FASULO EMMOTT, LPC, CCS-M