Individual
MR. MICHAEL KEVIN GEOGHAN
Active
Individual
MR. MICHAEL KEVIN GEOGHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.N., L.M.S.W.
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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