| Blue Water Health Llc | |
|
33433 Meldrum St Chesterfield MI 48047-3459 | |
| (586) 212-4124 | |
| Not Available |
| Full Name | Blue Water Health Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 33433 Meldrum St, Chesterfield, Michigan |
| Authorized Official Name and Position | Casandra Ann Cook (SOCIAL WORKER) |
| Authorized Official Contact | 5862124124 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Blue Water Health Llc 33433 Meldrum St Chesterfield MI 48047-3459 Ph: (586) 212-4124 | Blue Water Health Llc 33433 Meldrum St Chesterfield MI 48047-3459 Ph: (586) 212-4124 |
| NPI Number | 1811718935 |
|---|---|
| Provider Enumeration Date | 10/21/2024 |
| Last Update Date | 10/21/2024 |
| Certification Date | 10/21/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811718935 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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