Organization
45TH PARALLEL PSYCHOLOGICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KRISTY SOMERVILLE LMSW (CLINICAL SOCIAL WORKER)
(989) 614-0776
Entity
Organization
Contact information
Practice address
685 E M 32 STE 211, GAYLORD, MI 49735-7775
(989) 614-7766
Mailing address
6837 OAKLAND HILLS DR, GAYLORD, MI 49735-8743
(989) 614-0776
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
04/26/2022
Last updated
04/26/2022
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