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NPI Code Detail

MEDICARE: JANET WHEDON LMSW

MEDICARE: JANET WHEDON LMSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker6801058194MI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1JW058194OTHERMIBCBS OF MI

General Provider Information

NPI Number : 1336184753
Entity Type Code : Individual
Provider Name (Legal Business Name) : JANET WHEDON LMSW
Provider Business Mailing Address
First Line : 715 PYLE DR
Second Line :
City : KINGSFORD
State : MI
Zip : 49802-4456
Country : US
Telephone Number : 906-774-0522
Fax Number : 906-774-1570
Provider Business Practice Location Address
First Line : 715 PYLE DR
Second Line :
City : KINGSFORD
State : MI
Zip : 49802-4456
Country : US
Telephone Number : 906-774-0522
Fax Number : 906-774-1570
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/19/2006
Last Update Date : 08/13/2008

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Directions to “ JANET WHEDON LMSW” Practice Location

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