Heather Kangas Msw Pllc | |
6 Salem Ct Ann Arbor MI 48104-5266 | |
(734) 883-5523 | |
Not Available |
Full Name | Heather Kangas Msw Pllc |
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Speciality | Social Worker |
Location | 6 Salem Ct, Ann Arbor, Michigan |
Authorized Official Name and Position | Heather Kangas (OWNER) |
Authorized Official Contact | 7348835523 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Heather Kangas Msw Pllc 6 Salem Ct Ann Arbor MI 48104-5266 Ph: (734) 883-5523 | Heather Kangas Msw Pllc 6 Salem Ct Ann Arbor MI 48104-5266 Ph: (734) 883-5523 |
NPI Number | 1760017644 |
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Provider Enumeration Date | 03/11/2020 |
Last Update Date | 09/18/2020 |
Certification Date | 09/18/2020 |
Medicare PECOS PAC ID | 6800207986 |
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Medicare Enrollment ID | O20201120000912 |
Identifier | Type | State | Issuer |
---|---|---|---|
1760017644 | NPI | - | NPPES |
1992041339 | Other | NPI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Provider Name | Heather Kangas |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1992041339 PECOS PAC ID: 6103067459 Enrollment ID: I20130729000737 |
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