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Andrea Myers

Social Worker, Clinical in Traverse City, MI. Individual provider (NPI-1).

NPI number1194172007
StatusActive
Last updated in NPPESMay 20, 2016

Details

NPI
1194172007
Entity type
Individual (NPI-1)
Name
Andrea Myers
Sex
Female
Sole proprietor
Yes
Enumeration date
May 20, 2016
Last updated
May 20, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1041C0700X Social Worker, Clinical6801046865MIYes

Practice location

415 Munson Ave
Traverse City, MI 49686-3059

Phone 231-486-6330

Mailing address

Po Box 674779
Detroit, MI 48267-4779

Phone 231-486-6330

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