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Organization
TRILLIUMWOOD COUNSELING SERVICES
Active
Organization
TRILLIUMWOOD COUNSELING SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TIMOTHY ALAN EVANS FILLMORE MS, LMSW (CLINICAL SOCIAL WORKER)
(906) 235-6750
Entity
Organization
Contact information
Practice address
4851 COUNTY ROAD 135, MC MILLAN, MI 49853-9452
(906) 235-6750
Mailing address
4851 COUNTY ROAD 135, MCMILLAN, MI 49853
(906) 235-6750
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
6801093490
MI
Other
Enumeration date
03/15/2017
Last updated
03/15/2017
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