Provider Information for 1144840752
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PAMELA GRZECH LMSW
Sex: Female
NPI: 1144840752
Last Updated: 2024-06-22
Certification Date: 2024-06-22
Certification Date: 2024-06-22
Details
| Name | Value | ||||||||
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| NPI | 1144840752 | ||||||||
| Enumeration Date | 2020-04-23 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | PO BOX 121 ACME, MI 49610-0121 United States Phone: 734-358-0211 | Fax: | ||||||||
| Primary Practice Address | 3967 SHERWOOD FOREST DR TRAVERSE CITY, MI 49686-6317 United States Phone: 231-338-6173 | Fax:866-833-4089 | ||||||||
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