Individual
REBEKAH NICKERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
105 HALL ST UNIT B, TRAVERSE CITY, MI 49684-2288
(231) 922-2060
Mailing address
5236 HILLTOP RD, GRAWN, MI 49637-9531
(231) 944-0437
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
01/23/2024
Last updated
01/23/2024
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