in Greenville - Clinical

- NPI 1235240227

is a Clinical in Greenville, Michigan. practices all healthcare services and medical treatments related to Clinical. The NPI Number for is 1235240227. The last update date is .

's current location address is 6728 Vining Rd, Greenville, Michigan. You can contact this provider via phone number 6162258220 and fax number 6162258226. The mailing address for is 6728 Vining Rd, Greenville, Michigan. To know further, please read the information below!

Provider Profile Detail

Provider Name
Address 6728 Vining Rd, Greenville, Michigan
Phone Number 6162258220
Fax Number 6162258226
Sole Proprietor --
Credentials --

NPI Number Detail

NPI Number 1235240227
Provider Enumeration Date
Last Updated Date

Provider Mailing Address Detail

Address 6728 Vining Rd
City Greenville
State Michigan (MI)
Post Code 488389784
Phone Number 6162258220
Fax Number 6162258226

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 1041C0700X
Licence No 6801066841
Definition:
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
800E910320 MI BC/BSM

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