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Individual

ANN WAITE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LBSW

Contact information

Practice address
420 W 5TH AVE, FLINT, MI 48503-2445
(810) 257-3705
Mailing address
420 W 5TH AVE, FLINT, MI 48503-2445
(810) 257-3705
(810) 853-6826

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6802089018
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1514
MI
Enumeration date
11/01/2016
Last updated
03/01/2022
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