| Doctor Name: | MS. NANCY ANN MCFADDEN |
| NPI Number: | 1275804932 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.S.W |
| License Number: | 6801064516 |
| Business Practice Address: | 510 E Main St Paw Paw, MI - 490791349 |
| Business Phone Number: | 2696576796 |
| Business Fax Number: | 2696576027 |
| Mailing Address: | 510 E Main St, PAW PAW |
| State: | MI |
| Postal Code: | 490791349 |
| Phone Number: | 2696576796 |
| Fax Number: | 2696576027 |
| NPI Enumeration Date: | 01/25/2012 |
| NPI Last Update Date: | 01/25/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 6801064516 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |