Michelle L Boudreaux in Grand Rapids - Clinical
Michelle L Boudreaux - NPI 1841307006
Michelle L Boudreaux is a Clinical in Grand Rapids, Michigan. Michelle L Boudreaux practices all healthcare services and medical treatments related to Clinical. The NPI Number for Michelle L Boudreaux is 1841307006. The last update date is 2022-07-21.
Michelle L Boudreaux's current location address is 1131 Ionia Nw, Grand Rapids, Michigan. You can contact this provider via phone number 6162597900 and fax number 2693813810. The mailing address for Michelle L Boudreaux is 1131 Ionia Nw, Grand Rapids, Michigan. To know further, please read the information below!
Provider Profile Detail
Provider Name | Michelle L Boudreaux |
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Address | 1131 Ionia Nw, Grand Rapids, Michigan |
Phone Number | 6162597900 |
Fax Number | 2693813810 |
Sole Proprietor | N |
Credentials | LMSW |
NPI Number Detail
NPI Number | 1841307006 |
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Provider Enumeration Date | 2006-08-24 |
Last Updated Date | 2022-07-21 |
Provider Mailing Address Detail
Address | 1131 Ionia Nw |
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City | Grand Rapids |
State | Michigan (MI) |
Post Code | 49503 |
Phone Number | 6162597900 |
Fax Number | 2693813810 |
Provider's Primary Taxonomy Detail
Speciality | Clinical |
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Taxonomy | 1041C0700X |
Licence No | 6801073431 |
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 |
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What is the Michelle L Boudreaux's 1841307006?
The Michelle L Boudreaux's NPI (National Provider Identifier) Number is 1841307006. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Michelle L Boudreaux's physical address?
The Michelle L Boudreaux is physically located at 1131 Ionia Nw, in the city of Grand Rapids, MI, with the postal code 49503.
What is Michelle L Boudreaux's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Michelle L Boudreaux is Clinical, and the taxonomy classification code that categorizes this area of expertise is 1041C0700X.
On what date did Michelle L Boudreaux receive its 1841307006 assignment from the Centers for Medicare & Medicaid Services?
The Michelle L Boudreaux was assigned its 1841307006 on 2006-08-24, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Michelle L Boudreaux most recently updated?
The details pertaining to the Michelle L Boudreaux, including its address, specialty, and other relevant information, were last refreshed on 2022-07-21.
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