Provider Demographics
NPI:1649459579
Name:ROWE, DENISE (LMSW)
Entity type:Individual
Prefix:MRS
First Name:DENISE
Middle Name:
Last Name:ROWE
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 1:2301 TIFFANY LN
Mailing Address - Street 2:
Mailing Address - City:HOLT
Mailing Address - State:MI
Mailing Address - Zip Code:48842-9778
Mailing Address - Country:US
Mailing Address - Phone:517-694-3020
Mailing Address - Fax:
Practice Address - Street 1:2301 TIFFANY LN
Practice Address - Street 2:
Practice Address - City:HOLT
Practice Address - State:MI
Practice Address - Zip Code:48842-9778
Practice Address - Country:US
Practice Address - Phone:517-694-3020
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-27
Last Update Date:2007-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI68010848141041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical