Individual
DEBRA ANN WAHOVIAK
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
LBSW
Contact information
Practice address
715 PYLE DR, KINGSFORD, MI 49802-4456
(906) 774-0522
(906) 774-1570
Mailing address
715 PYLE DR, KINGSFORD, MI 49802-4456
(906) 774-0522
(906) 774-1570
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6802072338
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
982471046235
PREFERRED ONE
—
01
—
DW072338
BCBS OF MI
MI
Enumeration date
06/20/2006
Last updated
07/08/2007
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