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Organization
VIBRANT HEALTH COMPANY
Active
Organization
VIBRANT HEALTH COMPANY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRACI E BALL LMSW CAADC (CLINICAL SOCIAL WORKER)
(906) 458-9501
Entity
Organization
Contact information
Practice address
917 WILSON ST, MARQUETTE, MI 49855-4413
(906) 458-9501
Mailing address
917 WILSON ST, MARQUETTE, MI 49855-4413
(906) 458-9501
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6801080284
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6801080284
LICENSE
MI
Enumeration date
12/07/2015
Last updated
12/07/2015
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