Terry Mcgovern MSW, PH.D.

NPI 1912099466 - Social Worker - 1041C0700X

NPI Details
NPI 1912099466
Gender Male
Enumeration Date 09/29/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
40 JEFFERSON AVE SE
GRAND RAPIDS MI, 49503-4304, US
Phone (616) 356-6245
Fax
Business Location
2445 HALL ST SE
GRAND RAPIDS MI, 49506-3504, US
Phone (616) 285-0409
Fax
Toxanomy
Taxonomy Code 1041C0700X
License State Michigan
License Number 6801067065
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According to our database, Terry Mcgovern MSW, PH.D. NPI is 1912099466, taxonomy code is 1041C0700X and license number is 6801067065, license state is located at Michigan. Terry Mcgovern MSW, PH.D. physically located at 40 Jefferson Ave Se, Grand Rapids MI, 49503-4304. NPI Number Terry Mcgovern MSW, PH.D. has the Individual type.

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1912099466 NPI number is provided on an as is basis without warranty of any kind. 1912099466 is maintained by the National Plan & Provider Enumeration System. The contents of Terry Mcgovern MSW, PH.D. are for informational purposes only.