Provider Demographics
NPI:1235166521
Name:PRESNALL, VERONICA M (RSW)
Entity Type:Individual
Prefix:MS
First Name:VERONICA
Middle Name:M
Last Name:PRESNALL
Suffix:
Gender:F
Credentials:RSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 80586
Mailing Address - Street 2:
Mailing Address - City:LANSING
Mailing Address - State:MI
Mailing Address - Zip Code:48908-0586
Mailing Address - Country:US
Mailing Address - Phone:517-321-7248
Mailing Address - Fax:517-321-4493
Practice Address - Street 1:6110 W WILLOW HWY
Practice Address - Street 2:
Practice Address - City:LANSING
Practice Address - State:MI
Practice Address - Zip Code:48917-1215
Practice Address - Country:US
Practice Address - Phone:517-321-7248
Practice Address - Fax:517-321-4493
Is Sole Proprietor?:No
Enumeration Date:2006-06-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6802085351104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker