Doctor Name: | WANDA F VILLET |
NPI Number: | 1720286693 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MSW |
License Number: | |
Business Practice Address: | 2511 Monroe Rd Blanchard, MI - 493109428 |
Business Phone Number: | 9895615019 |
Business Fax Number: | |
Mailing Address: | 2511 Monroe Rd, BLANCHARD |
State: | MI |
Postal Code: | 493109428 |
Phone Number: | 9895615019 |
Fax Number: | |
NPI Enumeration Date: | 07/03/2007 |
NPI Last Update Date: | 04/04/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041S0200X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MI |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | School |
Taxonomy Definition: |