| Vanessa Marry Lmsw Pllc | |
|
4343 Concourse Dr Ste 150 Ann Arbor MI 48108-8672 | |
| (734) 531-9947 | |
| Not Available |
| Full Name | Vanessa Marry Lmsw Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 4343 Concourse Dr Ste 150, Ann Arbor, Michigan |
| Authorized Official Name and Position | Vanessa Leigh Marry (OWNER) |
| Authorized Official Contact | 7345319947 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Vanessa Marry Lmsw Pllc 4343 Concourse Dr Ste 150 Ann Arbor MI 48108-8672 Ph: (734) 531-9947 | Vanessa Marry Lmsw Pllc 4343 Concourse Dr Ste 150 Ann Arbor MI 48108-8672 Ph: (734) 531-9947 |
| NPI Number | 1497109813 |
|---|---|
| Provider Enumeration Date | 04/21/2016 |
| Last Update Date | 02/22/2022 |
| Certification Date | 02/22/2022 |
| Medicare PECOS PAC ID | 2961785456 |
|---|---|
| Medicare Enrollment ID | O20170207002262 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497109813 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 6801091863 (Michigan) | Primary |
| Provider Name | Vanessa L Marry |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1083925259 PECOS PAC ID: 1052574241 Enrollment ID: I20120525000560 |
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