Individual
ANN M LEARY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
53292 MEADOW VIEW LN, PAW PAW, MI 49079-8642
(269) 267-8352
Mailing address
53292 MEADOW VIEW LN, PAW PAW, MI 49079-8642
(269) 267-8352
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6801021350
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8008950860
BCBS OF MICHIGAN
MI
Enumeration date
09/21/2006
Last updated
04/14/2017
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