NPI 1053983536

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Practitioner Student in an Organized Health Care Education/Training Program East Lansing, MI

Practice location

Address: 411 W Lake Lansing Rd STE C120, East Lansing, MI 48823-8483
Phone: (517) 215-5217

Registered specialties (2)

Student in an Organized Health Care Education/Training Program Primary

Student, Health Care Taxonomy 390200000X

Other Student in an Organized Health Care Education/Training Program providers in Michigan →

Clinical Social Worker

Behavioral Health & Social Service Providers Taxonomy 1041C0700X Licence 6801106213 (MI)

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Registry record

NPI: 1053983536
Entity type: Individual
Sex (as registered): Female
NPI issued: 14 Jul 2021
Record last updated: 14 Jul 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.