Individual
ANGELA MATHERNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
3175 PROFESSIONAL CT, BAY CITY, MI 48706-2823
(989) 667-3377
Mailing address
404 BIRNEY ST, ESSEXVILLE, MI 48732-1671
(734) 389-5218
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6801113569
MI
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
09/09/2019
Last updated
01/27/2022
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