Kristin Marie Periard LMSW

NPI 1073541082 - Social Worker - 104100000X

NPI Details
NPI 1073541082
Gender Female
Enumeration Date 06/29/2006
Last Updated 10/12/2009
Entity Type Individual
Active Over 10 years ago
Practice Location
120 W MAIN ST
#202
NORTHVILLE MI, 48167-1586, US
Phone (248) 347-6110
Fax (248) 347-1120
Business Location
28000 DEQUINDRE RD
WARREN MI, 48092-2468, US
Phone (586) 753-0405
Fax (586) 753-0404
Toxanomy
Taxonomy Code 104100000X
License State Michigan
License Number 6801067292
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According to our database, Kristin Marie Periard LMSW NPI is 1073541082, taxonomy code is 104100000X and license number is 6801067292, license state is located at Michigan. Kristin Marie Periard LMSW physically located at 120 W Main St, Northville MI, 48167-1586. NPI Number Kristin Marie Periard LMSW has the Individual type.

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1073541082 NPI number is provided on an as is basis without warranty of any kind. 1073541082 is maintained by the National Plan & Provider Enumeration System. The contents of Kristin Marie Periard LMSW are for informational purposes only.