Individual
KELLY NIERGARTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5816 W US HIGHWAY 10, SUITE C, LUDINGTON, MI 49431-2450
(231) 843-4899
(231) 843-8929
Mailing address
PO BOX 68, LAMONT, MI 49430-0068
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301014326
MI
104100000X
Social Worker
6301014326
MI
Other
Enumeration date
02/25/2010
Last updated
02/25/2010
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