| Mmdc | |
|
1213 W Front St Traverse City MI 49684-2317 | |
| (231) 935-0386 | |
| (231) 935-0387 |
| Full Name | Mmdc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 1213 W Front St, Traverse City, Michigan |
| Authorized Official Name and Position | Diane S Parsons (SOLE MEMBER) |
| Authorized Official Contact | 2319350386 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mmdc 1213 W Front St Traverse City MI 49684-2317 Ph: (231) 935-0386 | Mmdc 1213 W Front St Traverse City MI 49684-2317 Ph: (231) 935-0386 |
| NPI Number | 1265609960 |
|---|---|
| Provider Enumeration Date | 05/12/2008 |
| Last Update Date | 05/12/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265609960 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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