Patr | |
1581 Fawn Lake Dr West Branch MI 48661-9074 | |
(989) 701-6442 | |
Not Available |
Full Name | Patr |
---|---|
Speciality | Social Worker - Clinical |
Location | 1581 Fawn Lake Dr, West Branch, Michigan |
Authorized Official Name and Position | Patricia Nancy Edwards (CLINICAL SOCIAL WORKER) |
Authorized Official Contact | 9897016442 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Patr 1581 Fawn Lake Dr West Branch MI 48661-9074 Ph: (989) 701-6442 | Patr 1581 Fawn Lake Dr West Branch MI 48661-9074 Ph: (989) 701-6442 |
NPI Number | 1942815030 |
---|---|
Provider Enumeration Date | 09/15/2020 |
Last Update Date | 11/08/2024 |
Certification Date | 11/08/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1942815030 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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