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NPI Code Detail

MEDICARE: CHARLLA ALLEN LMSW

MEDICARE:   CHARLLA  ALLEN  LMSW
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 WorkerS.1601180OH
21041C0700XClinical Social Worker6801072902MI

General Provider Information

NPI Number : 1821161639
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHARLLA ALLEN LMSW
Provider Business Mailing Address
First Line : 4925 PACKARD ST
Second Line :
City : ANN ARBOR
State : MI
Zip : 48108-1521
Country : US
Telephone Number : 734-971-9781
Fax Number :
Provider Business Practice Location Address
First Line : 4925 PACKARD ST
Second Line :
City : ANN ARBOR
State : MI
Zip : 48108-1521
Country : US
Telephone Number : 734-971-9781
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/17/2006
Last Update Date : 11/17/2023

Similar Medicare Providers

1356292783 — AMANDA LOUSIE GODDARD LLMSW
Practice Location Address:
4925 PACKARD ST
ANN ARBOR, MI
48108-1521
Practice Phone: 734-971-9781
Practice Fax: 734-971-2730
1760449243 — LIZBETH ANN BORENER LMSW
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Practice Fax:
1679687339 — CATHOLIC SOCIAL SERVICES OF WASHTENAW COUNTY
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Practice Fax: 734-971-2730
1457467508 — MR. ROBERT CHARLES HOPKINS LMSW
Practice Location Address:
4925 PACKARD ST
ANN ARBOR, MI
48108-1521
Practice Phone: 734-971-9781
Practice Fax: 734-971-2730
1225123094 — MR. LORIN BURGESS LMSW
Practice Location Address:
4925 PACKARD ST
ANN ARBOR, MI
48108-1521
Practice Phone: 734-971-9781
Practice Fax: 734-971-2730
1114017027 — JESSICA LYNN GOUIN MSW
Practice Location Address:
4925 PACKARD ST
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48108-1521
Practice Phone: 734-971-9781
Practice Fax: 734-971-2730

Directions to “ CHARLLA ALLEN LMSW” Practice Location

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