| Kristin Marie Periard Msw, Lmsw | |
|
120 West Main St Ste 202 Northville MI 48167 | |
| (248) 347-6110 | |
| (248) 347-1120 |
| Full Name | Kristin Marie Periard Msw, Lmsw |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 120 West Main St, Northville, Michigan |
| Authorized Official Name and Position | Kristin Marie Periard (AGENT PSYCHOTHERAPIST) |
| Authorized Official Contact | 2483476110 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kristin Marie Periard Msw, Lmsw 120 West Main St Ste 202 Northville MI 48167 Ph: (248) 347-6110 | Kristin Marie Periard Msw, Lmsw 120 West Main St Ste 202 Northville MI 48167 Ph: (248) 347-6110 |
| NPI Number | 1902974231 |
|---|---|
| Provider Enumeration Date | 12/04/2006 |
| Last Update Date | 10/13/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902974231 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 6801067292 (Michigan) | Primary |
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