Organization
CALM TIDES THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIRSTEN LOUISE THAYER LMSW (SOCIAL WORKER)
(989) 802-4422
Entity
Organization
Contact information
Practice address
112 S MAIN ST, MOUNT PLEASANT, MI 48858-2326
(989) 802-4422
Mailing address
4544 E LAPORTE RD, FREELAND, MI 48623-9104
(989) 802-4422
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
04/01/2024
Last updated
08/28/2024
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