Individual
JACKIE CARRIVEAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CHW
Contact information
Practice address
400 JOHNSON ST, ALPENA, MI 49707-1434
(989) 356-2161
Mailing address
400 JOHNSON ST, ALPENA, MI 49707-1434
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
02/21/2025
Last updated
02/21/2025
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