Organization
MEDICAL FAMILY THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LAURIE A ANGER PMHNP-BC (PRESIDENT)
(231) 578-2006
Entity
Organization
Contact information
Practice address
818 STATE ST, BOYNE CITY, MI 49712-9179
(231) 578-2006
Mailing address
818 STATE ST, BOYNE CITY, MI 49712-9179
(231) 578-2006
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
4704156640
MI
Other
Enumeration date
04/13/2009
Last updated
04/13/2009
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