Healthcare Provider Details

I. General information

NPI: 1871877993
Provider Name (Legal Business Name): DEBRA LYNN ROWE MSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/07/2011
Last Update Date: 03/22/2024
Certification Date: 03/22/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

391 S SHORE DR STE 214
BATTLE CREEK MI
49014-5446
US

IV. Provider business mailing address

200 N MADISON ST
MARSHALL MI
49068-1143
US

V. Phone/Fax

Practice location:
  • Phone: 269-964-0153
  • Fax: 855-877-5812
Mailing address:
  • Phone: 269-781-4271
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number6801080587
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: