NPI 1114668134

Marla Diane Garchow, DCP

Practitioner Foster Care Agency Traverse City, MI

Practice location

Address: 1855 Carlisle Rd, Traverse City, MI 49696-9156
Phone: (231) 342-4878
Fax: (231) 421-3275

Registered specialties

Foster Care Agency Primary

Agencies Taxonomy 253J00000X Licence AS280406473 (MI)

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Registry record

NPI: 1114668134
Entity type: Individual
Sex (as registered): Female
NPI issued: 5 Apr 2022
Record last updated: 5 Apr 2022

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.