| Evan Craig Wisner Llc | |
|
560 Meadow Ln Hastings MI 49058-8837 | |
| (269) 908-0119 | |
| Not Available |
| Full Name | Evan Craig Wisner Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 560 Meadow Ln, Hastings, Michigan |
| Authorized Official Name and Position | Evan Craig Wisner (OWNER/THERAPIST) |
| Authorized Official Contact | 2699080119 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Evan Craig Wisner Llc 560 Meadow Ln Hastings MI 49058-8837 Ph: (269) 908-0119 | Evan Craig Wisner Llc 560 Meadow Ln Hastings MI 49058-8837 Ph: (269) 908-0119 |
| NPI Number | 1073199881 |
|---|---|
| Provider Enumeration Date | 03/22/2021 |
| Last Update Date | 03/22/2021 |
| Certification Date | 03/22/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073199881 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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