| Pkm: Life Transitions | |
|
12968 Hardin Pike Wapakoneta OH 45895-8323 | |
| (419) 722-8853 | |
| (419) 738-7773 |
| Full Name | Pkm: Life Transitions |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 12968 Hardin Pike, Wapakoneta, Ohio |
| Authorized Official Name and Position | Pamela K Mills (OWNER) |
| Authorized Official Contact | 4197228853 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pkm: Life Transitions 12968 Hardin Pike Wapakoneta OH 45895-8323 Ph: (419) 722-8853 | Pkm: Life Transitions 12968 Hardin Pike Wapakoneta OH 45895-8323 Ph: (419) 722-8853 |
| NPI Number | 1447488242 |
|---|---|
| Provider Enumeration Date | 06/30/2009 |
| Last Update Date | 06/30/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447488242 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | I 0800054 (Ohio) | Primary |
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