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Theresa Evans Lmsw Caadc Llc
Multi-Specialty Clinic/Center in Traverse City, Michigan
NPI 1982194163

Theresa Evans Lmsw Caadc Llc is a Multi-Specialty Clinic/Center based in Traverse City, MI and is specialized in Multi-Specialty. Theresa Evans Lmsw Caadc Llc practices in Traverse City, MI. The NPI Number for Theresa Evans Lmsw Caadc Llc is 1982194163 and holds a License No. (Michigan).

The current practice location address for Theresa Evans Lmsw Caadc Llc is 3130 Logan Valley Rd, Traverse City, MI and can be reached out via phone at 231-409-8622.

Location: 3130 Logan Valley Rd, Traverse City, MI, 49685-7410
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1982194163
Provider Name
Theresa Evans Lmsw Caadc Llc
Credential
Provider Entity Type
Organization
Address
3130 Logan Valley Rd, Traverse City, MI, 49685-7410
Phone Number
231-409-8622
Fax Number
Provider Enumeration Date
05/14/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1972659845 05 MI
institution
Provider Business Practice Location Address Details
Address
3130 Logan Valley Rd
City
Traverse City
State
Michigan
Zip
49684-4772
Phone Number
231-409-8622
Fax Number
person
Provider Business Mailing Address Details
Address
3130 Logan Valley Rd
City
Traverse City
State
Michigan
Zip
49684-4772
Phone Number
231-409-8622
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Multi-Specialty
Taxonomy
261QM1300X
License No.
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Definition
Definition to come...
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