Dody Warnock, Mary Elizabeth

Dody Warnock, Mary Elizabeth is an individual health care provider with primary practice located at 1111 Fulton St , Grand Haven MI 49417-1569. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Dody Warnock, Mary Elizabeth can be contacted via phone (616) 846-8235.

Contact Information

Primary practice address
1111 Fulton St Grand Haven MI 49417-1569
Fax: (616) 842-0886
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 6801033391 Michigan

Profile Details

NPI number 1013939131
LBN Legal business name Dody Warnock, Mary Elizabeth
Credentials LMSW
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 25th, 2006
Last updated Feb 12th, 2013 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1013939131 NPPES
Michigan MEDICAID 104948647

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