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Individual
PHYLLIS M SCHADLER
Active
Individual
PHYLLIS M SCHADLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6801013233
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6801013233
STATE LICENSE
MI
01
—
8008900680
BCBS PIN
MI
Enumeration date
05/02/2007
Last updated
03/13/2017
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