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1131 W Conway Rd Unit B Harbor Springs MI 49740-9642 | |
| (231) 753-8191 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 1131 W Conway Rd Unit B, Harbor Springs, Michigan |
| Authorized Official Name and Position | Kimberly Ann Zimmer (OWNER) |
| Authorized Official Contact | 2316201211 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
Po Box 2061 Petoskey MI 49770-2061 Ph: (231) 620-1211 | 1131 W Conway Rd Unit B Harbor Springs MI 49740-9642 Ph: (231) 753-8191 |
| NPI Number | 1134800295 |
|---|---|
| Provider Enumeration Date | 07/31/2023 |
| Last Update Date | 08/23/2023 |
| Certification Date | 08/10/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134800295 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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