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DANIEL FORRESTER

>> Social Worker >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1942231584

Individual Registrant:
 DANIEL  FORRESTER 
Gender: M
Not Sole Proprietor

Location and contact information for practice:
101 S 4TH ST  ISHPEMING, MI 49849-2151 US
Tel: 906-486-4431  Fax: 906-485-2504

Contact information for business:
101 S 4TH ST  ISHPEMING, MI 49849-2151 US
Tel: 906-486-4431  Fax: 906-485-2504

Registration Information:
NPI: 1942231584
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y104100000XBehavioral Health & Social Service Providers
Social Worker
MI6801009713

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
BLUE SHIELDDF009713MI01




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