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NPI Code Detail

MEDICARE: CHELSEA PAULL

MEDICARE:   CHELSEA  PAULL
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 Worker6851117066MI

General Provider Information

NPI Number : 1215862081
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHELSEA PAULL
Provider Business Mailing Address
First Line : 10239 DODGE RD
Second Line :
City : MONTROSE
State : MI
Zip : 48457-9034
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 10801 S SAGINAW ST STE D
Second Line :
City : GRAND BLANC
State : MI
Zip : 48439-8126
Country : US
Telephone Number : 810-771-4074
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/15/2026
Last Update Date : 06/15/2026

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Directions to “ CHELSEA PAULL ” Practice Location

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