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

Registrant NPI Number: 1902245137

Individual Registrant:
Gender: F
Not Sole Proprietor

Location and contact information for practice:
Tel: 517-294-6694  Fax: --

Contact information for business:
Tel: 517-294-6694  Fax: --

Registration Information:
NPI: 1902245137
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y1041C0700XBehavioral Health & Social Service Providers
Social Worker

Legacy codes, insurance codes and state license numbers:



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