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Organization
MAPLE CLINIC, INC.
Active
Organization
MAPLE CLINIC, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY ANN CROSS (BUSINESS MANAGER)
(231) 946-9575
Entity
Organization
Contact information
Practice address
525 S UNION ST, TRAVERSE CITY, MI 49684-3246
(231) 946-9575
(231) 947-5781
Mailing address
525 S UNION ST, TRAVERSE CITY, MI 49684-3246
(231) 946-9575
(231) 947-5781
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
MI
1041C0700X
Clinical Social Worker
—
MI
Other
Enumeration date
11/29/2012
Last updated
11/29/2012
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