| Full Name | |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 585 Jewett Rd, Mason, Michigan |
| Authorized Official Name and Position | Jennifer Anne Griese (BILLING DIRECTOR) |
| Authorized Official Contact | 5176765405 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
Po Box 289 Mason MI 48854-0289 Ph: (517) 676-5405 | 585 Jewett Rd Mason MI 48854-8729 Ph: (517) 676-5405 |
| NPI Number | 1700066339 |
|---|---|
| Provider Enumeration Date | 11/12/2007 |
| Last Update Date | 04/12/2022 |
| Certification Date | 04/12/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700066339 | NPI | - | NPPES |
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