Mark Halvorsen

NPI #1730469008 in Saint Ignace, Michigan

Provider Information

NPI Number: 1730469008
Entity Type: Individual
Name: Mark Halvorsen
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker - Clinical
Enumeration Date: Aug 18, 2011
Last Updated: Aug 18, 2011

Practice Location

Address: 114 W ELLIOTT ST
City: Saint Ignace
State: Michigan
ZIP Code: 49781-1868
Phone: (906) 643-8616

Specialties & Taxonomy Codes

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

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