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Organization

EMERGING PATH LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. DIANE L WIEGAND LMSW, ACSW (OWNER)
(231) 727-2901
Entity
Organization

Contact information

Practice address
1576 PECK ST, MUSKEGON, MI 49441-2547
(231) 727-2901
Mailing address
1576 PECK ST, MUSKEGON, MI 49441-2547
(231) 727-2901

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
6801080675
MI

Other

Enumeration date
11/30/2011
Last updated
11/30/2011
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