Organization
WENDY PREVOST LMSW
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WENDY PREVOST LMSW (OWNER)
(906) 228-3092
Entity
Organization
Contact information
Practice address
104 E WASHINGTON ST, MARQUETTE, MI 49855-4318
(906) 228-3092
(906) 228-3092
Mailing address
104 E WASHINGTON ST, MARQUETTE, MI 49855-4318
(906) 228-3092
(906) 228-3092
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
6801086422
MI
Other
Enumeration date
12/05/2012
Last updated
12/05/2012
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