Inner Growth Services Llc | |
706 Park St Fenton MI 48430-2075 | |
(810) 624-7258 | |
Not Available |
Full Name | Inner Growth Services Llc |
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Speciality | Social Worker |
Location | 706 Park St, Fenton, Michigan |
Authorized Official Name and Position | Amy Bray (OWNER) |
Authorized Official Contact | 8106247258 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Inner Growth Services Llc 706 Park St Fenton MI 48430-2075 Ph: (810) 624-7258 | Inner Growth Services Llc 706 Park St Fenton MI 48430-2075 Ph: (810) 624-7258 |
NPI Number | 1730695636 |
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Provider Enumeration Date | 12/15/2017 |
Last Update Date | 12/15/2017 |
Medicare PECOS PAC ID | 5496014698 |
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Medicare Enrollment ID | O20180116001315 |
Identifier | Type | State | Issuer |
---|---|---|---|
1730695636 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 6801094551 (Michigan) | Primary |
Provider Name | Amy Lynn Bray |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1700215472 PECOS PAC ID: 6305105503 Enrollment ID: I20180116001408 |
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