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Organization

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Organization

ADD ANOTHER POSITIVE STEP

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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