BRENDA ENNIS

Dr BRENDA ENNIS is a female medical professional, specializing in Clinical Social Worker. She graduated in 1998.

Contact

2202 MITCHELL PARK DR
SUITE 2B
PETOSKEY
MI
497708897

Tel:

BRENDA ENNIS Information

Npi 1386972446
Pac Id 1951536556
Professional Enrollment Id I20131107001652
Last Name ENNIS
First Name BRENDA
Middle Name
Suffix
Gender F
Credential
Medical School Name OTHER
Graduation Year 1998
Primary Specialty CLINICAL SOCIAL WORKER
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
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Organization Legal Name
Group Practice Pac Id
Number Of Group Practice Members
Line 1 Street Address 2202 MITCHELL PARK DR
Line 2 Street Address SUITE 2B
Marker Of Address Line 2 Suppression
City PETOSKEY
State MI
Zip Code 497708897
Phone Number
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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