Phyllis Rita Ventocilla, LMSW

NPI #1053941690 in Muskegon, Michigan

Provider Information

NPI Number: 1053941690
Entity Type: Individual
Name: Phyllis Rita Ventocilla, LMSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker
Credential: LMSW
Enumeration Date: Jan 23, 2020
Last Updated: Jan 23, 2020

Practice Location

Address: 1050 W WESTERN AVE STE 400
City: Muskegon
State: Michigan
ZIP Code: 49441-1666
Phone: (231) 728-3442

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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