Provider Demographics
NPI:1699034744
Name:MUTHIG, JULIE (LMSW)
Entity Type:Individual
Prefix:
First Name:JULIE
Middle Name:
Last Name:MUTHIG
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:JULIE
Other - Middle Name:
Other - Last Name:BADOWSKI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:150 S 5TH AVE
Mailing Address - Street 2:#204
Mailing Address - City:ANN ARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48104-1999
Mailing Address - Country:US
Mailing Address - Phone:734-478-7358
Mailing Address - Fax:
Practice Address - Street 1:150 S 5TH AVE
Practice Address - Street 2:#204
Practice Address - City:ANN ARBOR
Practice Address - State:MI
Practice Address - Zip Code:48104-1999
Practice Address - Country:US
Practice Address - Phone:734-478-7358
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-05-10
Last Update Date:2016-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI68010943341041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical