45th Parallel Psychological

NPI #1306580352 in Gaylord, Michigan

Provider Information

NPI Number: 1306580352
Entity Type: Organization
Organization Name: 45th Parallel Psychological
Primary Specialty: Social Worker - Clinical
Enumeration Date: Apr 26, 2022
Last Updated: Apr 26, 2022

Practice Location

Address: 685 E M 32 STE 211
City: Gaylord
State: Michigan
ZIP Code: 49735-7775
Phone: (989) 614-7766

Authorized Official

Name: MRS. KRISTY SOMERVILLE, LMSW
Title: CLINICAL SOCIAL WORKER
Phone: (989) 614-0776

Specialties & Taxonomy Codes

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

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