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NPI Code Detail

MEDICARE: ALLISON ACTON LLMSW

MEDICARE: ALLISON ACTON 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
1104100000XSocial Worker6851119575MI

General Provider Information

NPI Number : 1730059460
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALLISON ACTON LLMSW
Provider Business Mailing Address
First Line : 1485 M 139
Second Line :
City : BENTON HARBOR
State : MI
Zip : 49022-5711
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1485 M 139
Second Line :
City : BENTON HARBOR
State : MI
Zip : 49022-5711
Country : US
Telephone Number : 269-925-0585
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/07/2025
Last Update Date : 01/22/2026

Similar Medicare Providers

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1801927405 — DORE' GENIS SILVEY LCSW
Practice Location Address:
1485 M 139 , RIVERWOOD CENTER
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Directions to “ ALLISON ACTON LLMSW” Practice Location

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