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Individual

ELWIRA ANNA MCCAFFERTY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
6995 W 48TH ST, FREMONT, MI 49412-9506
(231) 335-1718
(231) 422-0022
Mailing address
6995 W 48TH ST, FREMONT, MI 49412-9506
(231) 335-1718
(231) 422-0022

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6801109609
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
6801109609
LICENSE
MI
Enumeration date
05/12/2021
Last updated
09/19/2024
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