| Deanna Fletcher Lmsw Llc | |
|
1122 N Leroy St Ste A Fenton MI 48430-2789 | |
| (810) 215-1414 | |
| Not Available |
| Full Name | Deanna Fletcher Lmsw Llc |
|---|---|
| Speciality | Social Worker |
| Location | 1122 N Leroy St Ste A, Fenton, Michigan |
| Authorized Official Name and Position | Deanna Fletcher (LMSW) |
| Authorized Official Contact | 8102151414 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Deanna Fletcher Lmsw Llc 1122 N Leroy St Ste A Fenton MI 48430-2789 Ph: (810) 215-1414 | Deanna Fletcher Lmsw Llc 1122 N Leroy St Ste A Fenton MI 48430-2789 Ph: (810) 215-1414 |
| NPI Number | 1023528874 |
|---|---|
| Provider Enumeration Date | 10/06/2017 |
| Last Update Date | 02/25/2019 |
| Medicare PECOS PAC ID | 5193099265 |
|---|---|
| Medicare Enrollment ID | O20170928001214 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023528874 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Deanna Fletcher |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1659813319 PECOS PAC ID: 9335218379 Enrollment ID: I20170111002226 |
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