Most Relevant Information
Provider Data
NPI Number: | 1003483215 |
Provider Name: | CALLIE GUNN |
Entity Type: | Individual |
Taxonomy Code: | 1041C0700X |
Specialty: | Social Worker |
License Number: | 6851109796 |
Most Important Dates
Enumeration Date: | 06/07/2021 |
Last Updated: | 10/31/2023 |
Provider Practice Location
3111 ELECTRIC AVE
PORT HURON
MI
480608127
Practice Location Phone/Fax
Phone: | 8109858900 |
Fax: |
Provider Mailing Location
3111 ELECTRIC AVE
PORT HURON
MI
480608127
Provider Mailing Phone/Fax
Phone: | |
Fax: |