Provider Demographics
NPI:1760129639
Name:SALAS, MARGARITA CATALINA (LMSW)
Entity Type:Individual
Prefix:
First Name:MARGARITA
Middle Name:CATALINA
Last Name:SALAS
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:203 W SUMMIT ST
Mailing Address - Street 2:
Mailing Address - City:ANN ARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48103-3249
Mailing Address - Country:US
Mailing Address - Phone:203-644-4774
Mailing Address - Fax:
Practice Address - Street 1:203 W SUMMIT ST
Practice Address - Street 2:
Practice Address - City:ANN ARBOR
Practice Address - State:MI
Practice Address - Zip Code:48103-3249
Practice Address - Country:US
Practice Address - Phone:203-644-4774
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-05-12
Last Update Date:2022-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI68011138271041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical