Wexford Pho

NPI #1144679721 in Cadillac, Michigan

Provider Information

NPI Number: 1144679721
Entity Type: Organization
Organization Name: Wexford Pho
Primary Specialty: Social Worker - Clinical
Enumeration Date: Jun 6, 2016
Last Updated: Jun 6, 2016

Practice Location

Address: 117 N MITCHELL ST
Address 2: STE. 6
City: Cadillac
State: Michigan
ZIP Code: 49601-1884
Phone: (231) 876-7139

Authorized Official

Name: KIM SPEESE
Title: EXECUTIVE DIRECTOR
Phone: (231) 876-7859

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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