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Individual

MR. MICHAEL KEVIN GEOGHAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
R.N., L.M.S.W.

Contact information

Practice address
1049 E NEWELL ST, WHITE CLOUD, MI 49349-8795
(231) 689-7330
(231) 689-7345
Mailing address
1881 ORA ST, MUSKEGON, MI 49445-1621
(231) 689-7330
(231) 689-7345

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
6801059977
MI
163WA2000X
Administrator Registered Nurse
Primary
4704110516
MI

Other

Enumeration date
08/28/2006
Last updated
09/11/2025
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