Laura Ann Griswack, 172v00000x
Community Health Worker in Southgate, MI. Individual provider (NPI-1).
NPI number1790259596
StatusActive
Last updated in NPPESJan 19, 2022
Details
- NPI
- 1790259596
- Entity type
- Individual (NPI-1)
- Name
- Laura Ann Griswack
- Credential
- 172v00000x
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 15, 2019
- Certification date
- Jan 19, 2022
- Last updated
- Jan 19, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 172V00000X | Community Health Worker | – | – | Yes |
Practice location
13101 Allen RdSouthgate, MI 48195-2216
Phone 734-785-7700
Mailing address
13101 Allen RdSouthgate, MI 48195-2216
Phone 734-785-7700
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All 11 Community Health Worker providers in Southgate · All 2,117 providers in Southgate
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