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NPI Code Detail

MEDICARE: KATELYN MARIE PELCHER LLMSW

MEDICARE: KATELYN MARIE PELCHER LLMSW
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 Worker6851120288MI

General Provider Information

NPI Number : 1497538276
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATELYN MARIE PELCHER LLMSW
Provider Business Mailing Address
First Line : 3351 SWEETGRASS DR
Second Line :
City : MOUNT PLEASANT
State : MI
Zip : 48858-8123
Country : US
Telephone Number : 989-513-9728
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 : 899-775-4850
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/16/2023
Last Update Date : 04/09/2026

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