Provider Demographics
NPI:1720370653
Name:LAFRAMBOISE, ANTHONY P (LMSW)
Entity Type:Individual
Prefix:
First Name:ANTHONY
Middle Name:P
Last Name:LAFRAMBOISE
Suffix:
Gender:M
Credentials:LMSW
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 451
Mailing Address - Street 2:
Mailing Address - City:HEMLOCK
Mailing Address - State:MI
Mailing Address - Zip Code:48626-0451
Mailing Address - Country:US
Mailing Address - Phone:989-284-6158
Mailing Address - Fax:
Practice Address - Street 1:3838 N HEMLOCK RD
Practice Address - Street 2:
Practice Address - City:HEMLOCK
Practice Address - State:MI
Practice Address - Zip Code:48626-9667
Practice Address - Country:US
Practice Address - Phone:989-284-6158
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-05-11
Last Update Date:2023-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI68010930811041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical