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BLAKE MCCULLOUGH, LMSW

LMSW

Clinical Social Worker

NPI: 1679073092IndividualAccepts Medicare

Specialties, Licenses & Credentials

Clinical Social WorkerPrimary

Social Worker — Clinical

Code: 1041C0700X

6801104012(MI)
Social Worker

Social Worker

Code: 104100000X

6801100146(MI)

CMS Specialties

PrimaryCLINICAL SOCIAL WORKER

Education

OTHER

Class of 2016

Contact & Hours

Via practice · 3 locations total

Address
2900 HANNAH BLVD STE 104
EAST LANSING, MI 48823

Quick Facts

NPI
1679073092
Entity Type
Individual
Gender
Male
Medicare
Accepted
Specialties
2
Locations
3
Years in Practice
10

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