Michelle Coutcher And Associates Llc | |
55 Van Buren Ave Toledo OH 43605-1921 | |
(567) 298-4640 | |
(567) 298-4641 |
Full Name | Michelle Coutcher And Associates Llc |
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Speciality | Social Worker |
Location | 55 Van Buren Ave, Toledo, Ohio |
Authorized Official Name and Position | Michelle Coutcher (OWNER) |
Authorized Official Contact | 4193768468 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Michelle Coutcher And Associates Llc 55 Van Buren Ave Toledo OH 43605-1921 Ph: (567) 298-4640 | Michelle Coutcher And Associates Llc 55 Van Buren Ave Toledo OH 43605-1921 Ph: (567) 298-4640 |
NPI Number | 1356693345 |
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Provider Enumeration Date | 10/15/2012 |
Last Update Date | 02/03/2017 |
Medicare PECOS PAC ID | 9931345287 |
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Medicare Enrollment ID | O20130411000480 |
Identifier | Type | State | Issuer |
---|---|---|---|
1356693345 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | I1200985 (Ohio) | Primary |
Provider Name | Michelle Coutcher |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1932455490 PECOS PAC ID: 7719123066 Enrollment ID: I20130411000516 |
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