Etch
NPI #1689075806 in East Lansing, Michigan
Provider Information
- NPI Number
- 1689075806
- Entity Type
- Organization
- Organization Name
- Etch
- Primary Specialty
- Social Worker
- Enumeration Date
- Sep 8, 2014
- Last Updated
- Mar 6, 2024
Practice Location
- Address
- 909 ABBOT RD STE B
- City
- East Lansing
- State
- Michigan
- ZIP Code
- 48823-3168
- Phone
- (269) 430-3122
Authorized Official
- Name
- MARY BETH HOUPT
- Title
- CREDENTIALING
- Phone
- (517) 676-9797
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
| Psychiatry & Neurology - Psychiatry — Psychiatry |
| Social Worker |
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