NPI | 1538924204 |
---|---|
Former Legal Business Name | ADCOCK THERAPY, PLLC |
Entity Type | Organization |
Authorized Contact | TARA MARIE STEKETEE Licensed Clinical Social Worker 231-730-6275 |
Organization Subpart ? | No |
Primary Taxonomy | 1041C0700X Social Worker Clinical |
Enumeration Date | 2024-02-20 |
Last Update Date | 2024-08-22 |