Individual
ERICA EVERETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LLBSW
Contact information
Practice address
585 JEWETT RD, MASON, MI 48854-8729
(176) 765-4055
Mailing address
PO BOX 289, MASON, MI 48854-0289
(176) 765-4055
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
6802090303
MI
Other
Enumeration date
04/12/2019
Last updated
04/12/2019
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