| Donald Ray Cisco Jr, BA SST | |
|
14799 Dix Toledo Rd, Southgate, MI 48195-2507 | |
| (734) 324-8326 | |
| Not Available |
| Full Name | Donald Ray Cisco Jr |
|---|---|
| Gender | Male |
| Speciality | Social Worker - Clinical |
| Location | 14799 Dix Toledo Rd, Southgate, Michigan |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205456308 | NPI | - | NPPES |
| 6803087132 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Donald Ray Cisco Jr, BA SST 14799 Dix Toledo Rd, Southgate, MI 48195-2507 Ph: (734) 324-8326 | Donald Ray Cisco Jr, BA SST 14799 Dix Toledo Rd, Southgate, MI 48195-2507 Ph: (734) 324-8326 |
Shannon Baynai, Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 13101 Allen Rd, Southgate, MI 48195 Phone: 734-785-7700 | |
Mr. Kenneth Love Ii, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 14799 Dix Toledo Rd, Southgate, MI 48195 Phone: 734-324-8326 Fax: 734-324-8327 | |
David Copeland, LMSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 13305 Reeck Ct, Southgate, MI 48195 Phone: 734-225-2090 | |
Zahraa Saab, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 14799 Dix Toledo Rd, Southgate, MI 48195 Phone: 734-324-8326 Fax: 734-324-8327 | |
Mr. James Gerard Livingston, LLMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 13101 Allen Rd, Suite 400, Southgate, MI 48195 Phone: 734-785-7705 Fax: 734-785-7734 | |
Vickie Lynn Novell, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 13101 Allen Rd, Southgate, MI 48195 Phone: 734-785-7700 | |
Claudette Jefferson, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 13101 Allen Rd, Southgate, MI 48195 Phone: 734-785-7705 |