Individual
AUDREY MAHLIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
717 N CENTER DR NW, WALKER, MI 49544-8215
(616) 430-7791
(616) 784-1281
Mailing address
717 N CENTER DR NW, WALKER, MI 49544-8215
(616) 430-7791
(616) 784-1281
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6802085997
MI
Other
Enumeration date
03/03/2017
Last updated
03/03/2017
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