Menta Nichole Back, LLMSW
NPI #1235846502 in Saint Johns, Michigan
Provider Information
- NPI Number
- 1235846502
- Entity Type
- Individual
- Name
- Menta Nichole Back, LLMSW
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Social Worker - Clinical
- Credential
- LLMSW
- Enumeration Date
- Nov 4, 2022
- Last Updated
- Nov 4, 2022
Practice Location
- Address
- 1505 WATERFORD PKWY
- City
- Saint Johns
- State
- Michigan
- ZIP Code
- 48879-9630
- Phone
- (989) 292-3572
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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