| Patricia Marciniak, Lmsw Acsw Llc | |
|
6026 Harkson Dr East Lansing MI 48823-1513 | |
| (517) 332-2006 | |
| (517) 332-2006 |
| Full Name | Patricia Marciniak, Lmsw Acsw Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 6026 Harkson Dr, East Lansing, Michigan |
| Authorized Official Name and Position | Patricia Marciniak (LICENSED MASTER SOCIAL WORKER) |
| Authorized Official Contact | 5173322006 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Patricia Marciniak, Lmsw Acsw Llc 6026 Harkson Dr East Lansing MI 48823-1513 Ph: (517) 332-2006 | Patricia Marciniak, Lmsw Acsw Llc 6026 Harkson Dr East Lansing MI 48823-1513 Ph: (517) 332-2006 |
| NPI Number | 1710215199 |
|---|---|
| Provider Enumeration Date | 11/24/2009 |
| Last Update Date | 07/16/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710215199 | NPI | - | NPPES |
| 251105000 | Other | MI | MAGELLAN BEHAVIORAL HEALTH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 6801062760 (Michigan) | Primary |
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