Donovan Khamoro, LCSW | |
53435 Grand River Ave, New Hudson, MI 48165-8521 | |
(517) 882-3732 | |
Not Available |
Full Name | Donovan Khamoro |
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Gender | Male |
Speciality | Social Worker - Clinical |
Location | 53435 Grand River Ave, New Hudson, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1275205429 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 6801117401 (Michigan) | Primary |
Entity Name | Downriver Mental Health Clinic Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1295866135 PECOS PAC ID: 7911995139 Enrollment ID: O20040505000533 |
Mailing Address | Practice Location Address |
---|---|
Donovan Khamoro, LCSW 53435 Grand River Ave Ste 2500, New Hudson, MI 48165-8521 Ph: (734) 737-1200 | Donovan Khamoro, LCSW 53435 Grand River Ave, New Hudson, MI 48165-8521 Ph: (517) 882-3732 |
Ms. Kristin Lee Frederick, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 55919 Pontiac Trail Ct, New Hudson, MI 48165 Phone: 248-361-2925 | |
Mrs. Velvet Mosley, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 30154 Magnolia Dr, N/a, New Hudson, MI 48165 Phone: 248-437-5903 | |
Nona Maureen Anderson, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 53435 Grand River Ave, New Hudson, MI 48165 Phone: 810-494-7180 Fax: 248-692-4936 |