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Organization

FOOTPRINTS COUNSELING AND CONSULTING

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CATHY GALLEGOS (CREDENTIALING MANAGER)
(517) 483-2461
Entity
Organization

Contact information

Practice address
4005 E 11 MILE RD STE 175, WARREN, MI 48092-3000
(947) 517-7033
(517) 323-9531
Mailing address
4005 E 11 MILE RD STE 175, WARREN, MI 48092-3000
(947) 517-7033
(517) 323-9531

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary

Other

Enumeration date
08/11/2022
Last updated
10/17/2022
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