| Maple Clinic, Inc. | |
|
525 S Union St Traverse City MI 49684-3246 | |
| (231) 946-9575 | |
| (231) 947-5781 |
| Full Name | Maple Clinic, Inc. |
|---|---|
| Speciality | Social Worker |
| Location | 525 S Union St, Traverse City, Michigan |
| Authorized Official Name and Position | Kimberly Ann Cross (BUSINESS MANAGER) |
| Authorized Official Contact | 2319469575 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Maple Clinic, Inc. 525 S Union St Traverse City MI 49684-3246 Ph: (231) 946-9575 | Maple Clinic, Inc. 525 S Union St Traverse City MI 49684-3246 Ph: (231) 946-9575 |
| NPI Number | 1831434042 |
|---|---|
| Provider Enumeration Date | 11/29/2012 |
| Last Update Date | 11/29/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831434042 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | (Michigan) | Primary |
| 1041C0700X | Social Worker - Clinical | (Michigan) | Secondary |
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