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NPI Code Detail

MEDICARE: MS. CHRISTINA LEE WELSH LBSW, QMRP, QMHP

MEDICARE: MS. CHRISTINA LEE WELSH LBSW, QMRP, QMHP
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 Worker6802084958MI

General Provider Information

NPI Number : 1881774107
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. CHRISTINA LEE WELSH LBSW, QMRP, QMHP
Provider Business Mailing Address
First Line : 227 E SANILAC AVE
Second Line :
City : SANDUSKY
State : MI
Zip : 48471-1160
Country : US
Telephone Number : 810-583-0323
Fax Number : 810-648-5107
Provider Business Practice Location Address
First Line : 227 E SANILAC AVE
Second Line :
City : SANDUSKY
State : MI
Zip : 48471-1160
Country : US
Telephone Number : 810-583-0323
Fax Number : 810-648-5107
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/17/2006
Last Update Date : 05/09/2012

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