Provider Information for 1871959221
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MANDY ROWLEY LMSW
Sex: Female
NPI: 1871959221
Last Updated: 2022-12-13
Certification Date: 2022-12-13
Certification Date: 2022-12-13
Details
| Name | Value | ||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NPI | 1871959221 | ||||||||||||||||
| Enumeration Date | 2016-01-14 | ||||||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||||||
| Sole Proprietor | NO | ||||||||||||||||
| Status | Active | ||||||||||||||||
| Mailing Address | 47318 22ND ST MATTAWAN, MI 49071-8780 United States Phone: 269-364-8982 | Fax:269-381-3810 | ||||||||||||||||
| Primary Practice Address | 47318 22ND ST MATTAWAN, MI 49071-8780 United States Phone: 269-364-8982 | Fax:269-381-3810 | ||||||||||||||||
| Secondary Practice Address(es) | 610 S BURDICK ST | ||||||||||||||||
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