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Megan Baxendale

Case Manager/Care Coordinator in Mount Clemens, MI. Individual provider (NPI-1).

NPI number1790242592
StatusActive
Last updated in NPPESJun 19, 2020

Details

NPI
1790242592
Entity type
Individual (NPI-1)
Name
Miss Megan Baxendale
Sex
Female
Sole proprietor
No
Enumeration date
Feb 27, 2019
Certification date
Jun 19, 2020
Last updated
Jun 19, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
171M00000X Case Manager/Care Coordinator6802090720MIYes

Practice location

175 N Groesbeck Hwy
Mount Clemens, MI 48043-1562

Phone 586-627-0024

Mailing address

175 N Groesbeck Hwy
Mount Clemens, MI 48043-1562

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