| Gail Kiacz Lmsw Llc | |
|
120 W Exchange St Ste 3-6 Owosso MI 48867-2834 | |
| (989) 494-3105 | |
| Not Available |
| Full Name | Gail Kiacz Lmsw Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 120 W Exchange St Ste 3-6, Owosso, Michigan |
| Authorized Official Name and Position | Gail Kiacz (OWNER) |
| Authorized Official Contact | 8106911114 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gail Kiacz Lmsw Llc 9710 E Lytle Rd Lennon MI 48449-9753 Ph: () - | Gail Kiacz Lmsw Llc 120 W Exchange St Ste 3-6 Owosso MI 48867-2834 Ph: (989) 494-3105 |
| NPI Number | 1770110470 |
|---|---|
| Provider Enumeration Date | 03/24/2020 |
| Last Update Date | 06/25/2020 |
| Certification Date | 06/25/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770110470 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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