| Peggy Woehrlen Acsw Lmsw Lmft Pc | |
|
18090 Mack Ave Grosse Pointe MI 48230-6251 | |
| (248) 701-4977 | |
| Not Available |
| Full Name | Peggy Woehrlen Acsw Lmsw Lmft Pc |
|---|---|
| Speciality | Social Worker |
| Location | 18090 Mack Ave, Grosse Pointe, Michigan |
| Authorized Official Name and Position | Peggy Woehrlen (OWNER) |
| Authorized Official Contact | 2487014977 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Peggy Woehrlen Acsw Lmsw Lmft Pc 18090 Mack Ave Grosse Pointe MI 48230-6251 Ph: (248) 701-4977 | Peggy Woehrlen Acsw Lmsw Lmft Pc 18090 Mack Ave Grosse Pointe MI 48230-6251 Ph: (248) 701-4977 |
| NPI Number | 1285982389 |
|---|---|
| Provider Enumeration Date | 08/21/2012 |
| Last Update Date | 08/21/2012 |
| Medicare PECOS PAC ID | 8123278157 |
|---|---|
| Medicare Enrollment ID | O20121026000660 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285982389 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | 6801005123 (Michigan) | Primary |
| Provider Name | Peggy Woehrlen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093814824 PECOS PAC ID: 8022910371 Enrollment ID: I20080610000607 |
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