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NPI Code Detail

MEDICARE: GRACE ANN KEMP LLBSW

MEDICARE: GRACE ANN KEMP LLBSW
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
1104100000XSocial Worker6852090309MI

General Provider Information

NPI Number : 1477944189
Entity Type Code : Individual
Provider Name (Legal Business Name) : GRACE ANN KEMP LLBSW
Provider Business Mailing Address
First Line : 1921 WILKINS ST
Second Line :
City : SAGINAW
State : MI
Zip : 48601-3315
Country : US
Telephone Number : 989-714-5030
Fax Number :
Provider Business Practice Location Address
First Line : 3665 BAY RD
Second Line :
City : SAGINAW
State : MI
Zip : 48603-2445
Country : US
Telephone Number : 989-799-6542
Fax Number : 989-799-6867
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/17/2015
Last Update Date : 12/12/2022

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Directions to “ GRACE ANN KEMP LLBSW” Practice Location

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