Healthcare Provider Details

I. General information

NPI: 1003664939
Provider Name (Legal Business Name): PATRICIA MCGUIRE LLMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/07/2024
Last Update Date: 05/07/2024
Certification Date: 04/30/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

350 S MAIN ST
CHELSEA MI
48118
US

IV. Provider business mailing address

350 S MAIN ST
CHELSEA MI
48118
US

V. Phone/Fax

Practice location:
  • Phone: 734-433-5100
  • Fax:
Mailing address:
  • Phone: 734-433-5100
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number6851110982
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: