| Shelly Clemens-gray, Lmsw, Llc | |
|
1213 W Front St Traverse City MI 49684-2317 | |
| (231) 935-0386 | |
| (231) 935-0387 |
| Full Name | Shelly Clemens-gray, Lmsw, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 1213 W Front St, Traverse City, Michigan |
| Authorized Official Name and Position | Michelle Clemens-gray (OWNER) |
| Authorized Official Contact | 2319350574 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shelly Clemens-gray, Lmsw, Llc 1213 W Front St Traverse City MI 49684-2317 Ph: (231) 935-0386 | Shelly Clemens-gray, Lmsw, Llc 1213 W Front St Traverse City MI 49684-2317 Ph: (231) 935-0386 |
| NPI Number | 1215041702 |
|---|---|
| Provider Enumeration Date | 08/19/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215041702 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 6801070275 (Michigan) | Primary |
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