| Fortitude Children's Therapy, Llc | |
|
1346 Rollins St Grand Blanc MI 48439-5120 | |
| (517) 672-2798 | |
| Not Available |
| Full Name | Fortitude Children's Therapy, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 1346 Rollins St, Grand Blanc, Michigan |
| Authorized Official Name and Position | Ryan Christopher Ploch (CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 5176722798 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fortitude Children's Therapy, Llc 1346 Rollins St Grand Blanc MI 48439-5120 Ph: (517) 672-2798 | Fortitude Children's Therapy, Llc 1346 Rollins St Grand Blanc MI 48439-5120 Ph: (517) 672-2798 |
| NPI Number | 1326643586 |
|---|---|
| Provider Enumeration Date | 12/03/2020 |
| Last Update Date | 12/03/2020 |
| Certification Date | 12/03/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326643586 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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