| Annette Genovese Lcsw | |
|
40885 Quail St Mattawan MI 49071-8350 | |
| (201) 615-1540 | |
| Not Available |
| Full Name | Annette Genovese Lcsw |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 40885 Quail St, Mattawan, Michigan |
| Authorized Official Name and Position | Annette Genovese (LICENSED CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 2016151540 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Annette Genovese Lcsw 40885 Quail St Mattawan MI 49071-8350 Ph: (201) 615-1540 | Annette Genovese Lcsw 40885 Quail St Mattawan MI 49071-8350 Ph: (201) 615-1540 |
| NPI Number | 1578333258 |
|---|---|
| Provider Enumeration Date | 01/04/2024 |
| Last Update Date | 01/04/2024 |
| Certification Date | 01/04/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578333258 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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