| Mrs Annette Marie Wells, | |
|
40315 Michigan Ave Ste 1163, Canton, MI 48188-2908 | |
| (734) 331-0463 | |
| Not Available |
| Full Name | Mrs Annette Marie Wells |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 40315 Michigan Ave Ste 1163, Canton, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437738119 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 6801117768 (Michigan) | Primary |
| Entity Name | Grow Healthcare Group Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20220824000871 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Annette Marie Wells, 47080 Hidden River Cir N, Canton, MI 48188-6313 Ph: (805) 368-3295 | Mrs Annette Marie Wells, 40315 Michigan Ave Ste 1163, Canton, MI 48188-2908 Ph: (734) 331-0463 |
Lisa Dianne Tams, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 50361 Hancock St, Canton, MI 48188 Phone: 734-716-2185 | |
Mr. Nathaniel Edison Ponder, LMSW, CCS, CADC Clinical Social Worker Medicare: May Accept Medicare Assignments Practice Location: 50430 School House Rd, Canton, MI 48187 Phone: 734-495-1722 | |
Tonya Mcfee, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 48438 Manhattan Cir, Canton, MI 48188 Phone: 313-690-6500 Fax: 734-667-3033 | |
Jay Michaela Vandyke, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2200 N Canton Center Rd Ste 200a, Canton, MI 48187 Phone: 734-559-3540 | |
Susan Sloan, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6223 N Canton Center Rd, Canton, MI 48187 Phone: 734-737-1200 | |
Heydie Alejandra Orr, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5840 N Canton Center Rd Ste 221, Canton, MI 48187 Phone: 773-454-4898 | |
Alyssa Horton, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 305 Cassia Ct, Canton, MI 48187 Phone: 734-787-6078 |