Individual
CHELSEA I EBNIT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
925 N RIVER RD, SAGINAW, MI 48609-6831
(989) 220-9420
Mailing address
925 N RIVER RD, SAGINAW, MI 48609-6831
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6801100428
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6801100428
SOCIAL WORK LIMITED LICENSE
MI
Enumeration date
01/11/2018
Last updated
01/11/2018
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