Provider Demographics
NPI:1962718270
Name:LAUVER, MARYGRACE (LMSW, CAAC)
Entity type:Individual
Prefix:
First Name:MARYGRACE
Middle Name:
Last Name:LAUVER
Suffix:
Gender:
Credentials:LMSW, CAAC
Other - Prefix:
Other - First Name:MARY
Other - Middle Name:
Other - Last Name:FISHER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2215 FULLER RD
Mailing Address - Street 2:RM. F130
Mailing Address - City:ANN ARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48105-2303
Mailing Address - Country:US
Mailing Address - Phone:734-845-5793
Mailing Address - Fax:734-845-5426
Practice Address - Street 1:2215 FULLER RD
Practice Address - Street 2:RM. F130
Practice Address - City:ANN ARBOR
Practice Address - State:MI
Practice Address - Zip Code:48105-2303
Practice Address - Country:US
Practice Address - Phone:734-845-5793
Practice Address - Fax:734-845-5426
Is Sole Proprietor?:No
Enumeration Date:2010-08-24
Last Update Date:2025-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI68010906831041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical