Individual
GREGORY PAUL TAKALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LBSW
Contact information
Practice address
703 N 2ND AVE, IRON RIVER, MI 49935-1451
(906) 265-5126
(906) 265-5878
Mailing address
715 PYLE DR, KINGSFORD, MI 49802-4456
(906) 774-0522
(906) 774-1570
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6802020410
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
GT020410
BCBS OF MI
MI
Enumeration date
06/29/2006
Last updated
09/03/2009
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