Organization
BIG SKY WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARTINA ROSE PONTIOUS RICARDS MARKS LMSW (OWNER)
(989) 878-0255
Entity
Organization
Contact information
Practice address
2706 LOUANNA ST, MIDLAND, MI 48640-4422
(989) 878-0255
Mailing address
15 BEECH ST, SANFORD, MI 48657-9517
(989) 878-0255
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
10/30/2023
Last updated
10/30/2023
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