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101 S James St Ste 204 Ludington MI 49431-2166 | |
| (231) 233-3111 | |
| (231) 410-1014 |
| Full Name | |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 101 S James St Ste 204, Ludington, Michigan |
| Authorized Official Name and Position | Jennifer M Swanger (OWNER) |
| Authorized Official Contact | 2312333111 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
101 S James St Ste 204 Ludington MI 49431-2166 Ph: (231) 233-3111 | 101 S James St Ste 204 Ludington MI 49431-2166 Ph: (231) 233-3111 |
| NPI Number | 1982477105 |
|---|---|
| Provider Enumeration Date | 10/31/2023 |
| Last Update Date | 11/20/2024 |
| Certification Date | 11/20/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982477105 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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