Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 104100000X | Social Worker | 6801107884 | MI |
NPI | 1003423161 |
---|---|
Provider Name | Nicole Ubinger |
First Address | Hancock, MI 49930-1004 |
Second Address | Hancock, MI 49930-1004 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 23/09/2020 |
Last Update Date | 23/09/2020 |