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Individual

BETH A NICKERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1010 S GARFIELD AVE, TRAVERSE CITY, MI 49686-3434
(123) 134-6524
Mailing address
1010 S GARFIELD AVE, TRAVERSE CITY, MI 49686-3434
(123) 134-6524

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary

Other

Enumeration date
06/05/2024
Last updated
06/05/2024
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