Organization
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Active
Organization subpart
No
Provider details
NPI number
Authorized official
THERESA L WILLIAMS (CEO)
(616) 419-6092
Entity
Organization
Contact information
Practice address
740 32ND ST SE, WYOMING, MI 49548-2329
(313) 551-1857
Mailing address
740 32ND ST SE, WYOMING, MI 49548-2329
(313) 551-1857
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
MI
1041C0700X
Clinical Social Worker
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
Other
Enumeration date
03/09/2018
Last updated
03/09/2018
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