Organization
MARLEY GANNON PAGEL LMSW, ACSW, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARLEY G PAGEL (OWNER)
(734) 431-1776
Entity
Organization
Contact information
Practice address
474 IRIS LN, SALINE, MI 48176-9092
(734) 431-1776
Mailing address
474 IRIS LN, SALINE, MI 48176-9092
(734) 431-1776
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
6801069842
MI
Other
Enumeration date
12/19/2016
Last updated
12/19/2016
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