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NPI Code Detail

MEDICARE: MRS. DAWN MENA LMSW

MEDICARE: MRS. DAWN MENA 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
1104100000XSocial Worker6801093401MI

General Provider Information

NPI Number : 1518328699
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. DAWN MENA LMSW
Provider Business Mailing Address
First Line : 131 W GRAND AVE
Second Line :
City : MOUNT PLEASANT
State : MI
Zip : 48858-2017
Country : US
Telephone Number : 989-513-8605
Fax Number :
Provider Business Practice Location Address
First Line : 2800 S SHEPHERD RD
Second Line :
City : MOUNT PLEASANT
State : MI
Zip : 48858-8966
Country : US
Telephone Number : 989-775-4850
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/16/2016
Last Update Date : 10/03/2022

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