Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1041C0700X | Clinical Social Worker | 6801093335 | MI |
NPI | 1003194986 |
---|---|
Provider Name | Mr. Thomas Patrick Savard II |
First Address | Grand Haven, MI 49417-9043 |
Second Address | Muskegon, MI 49441-1976 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/07/2011 |
Last Update Date | 26/07/2011 |