Individual
CHRISTINE ELAINE WINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCMSW
Contact information
Practice address
112 E CHART ST, PLAINWELL, MI 49080-1768
(269) 685-6363
Mailing address
112 E CHART ST, PLAINWELL, MI 49080-1768
(269) 685-6363
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6801093619
MI
Other
Enumeration date
08/18/2015
Last updated
08/18/2015
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