Individual provider · NPI-1
Natalie Sue Agnew
Drama Therapist · Southgate, MI
NPI number1669379459
StatusActive
Last updated in NPPESOct 23, 2026
Details
- NPI
- 1669379459
- Entity type
- Individual (NPI-1)
- Name
- Natalie Sue Agnew
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Oct 23, 2026
- Certification date
- Oct 23, 2026
- Last updated
- Oct 23, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101200000X | Drama Therapist | – | MI | Yes |
Practice location
15341 Richmond StSouthgate, MI 48195-3260
Phone 734-991-5993
Mailing address
15341 Richmond StSouthgate, MI 48195-3260
Phone 734-991-5993
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