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Organization
GENERATIONS AHEAD
Active
Organization
GENERATIONS AHEAD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARJORIE RICH (EXECUTIVE DIRECTOR)
(231) 360-0053
Entity
Organization
Contact information
Practice address
3962 3 MILE RD N, TRAVERSE CITY, MI 49686-9164
(231) 360-0053
Mailing address
3962 3 MILE RD N, TRAVERSE CITY, MI 49686-9164
(231) 360-0053
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
01/06/2021
Last updated
01/06/2021
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