Mary Anne Dykema MSW

NPI 1083094437 - Social Worker - 1041C0700X

NPI Details
NPI 1083094437
Gender Female
Enumeration Date 06/01/2015
Last Updated 06/01/2015
Entity Type Individual
Active Over 1 year ago
Practice Location
3300 W CENTRE AVE
PORTAGE MI, 49024-4666, US
Phone (269) 327-2211
Fax
Business Location
3300 W CENTRE AVE
PORTAGE MI, 49024-4666, US
Phone (269) 327-2211
Fax
Toxanomy
Taxonomy Code 1041C0700X
License State Michigan
License Number 6801071418
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According to our database, Mrs. Mary Anne Dykema MSW NPI is 1083094437, taxonomy code is 1041C0700X and license number is 6801071418, license state is located at Michigan. Mary Anne Dykema MSW physically located at 3300 W Centre Ave, Portage MI, 49024-4666. NPI Number Mary Anne Dykema MSW has the Individual type.

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1083094437 NPI number is provided on an as is basis without warranty of any kind. 1083094437 is maintained by the National Plan & Provider Enumeration System. The contents of Mary Anne Dykema MSW are for informational purposes only.