| |
30640 W 12 Mile Rd Ste C Farmington Hills MI 48334-3808 | |
(248) 289-8391 | |
Not Available |
Full Name | |
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Speciality | Social Worker - Clinical |
Location | 30640 W 12 Mile Rd Ste C, Farmington Hills, Michigan |
Authorized Official Name and Position | Ashley Kays Zair (OWNER/CLINICIAN) |
Authorized Official Contact | 2484259656 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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30640 W 12 Mile Rd Ste C Farmington Hills MI 48334-3808 Ph: (248) 289-8391 | 30640 W 12 Mile Rd Ste C Farmington Hills MI 48334-3808 Ph: (248) 289-8391 |
NPI Number | 1801440367 |
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Provider Enumeration Date | 08/01/2019 |
Last Update Date | 12/30/2024 |
Certification Date | 12/30/2024 |
Identifier | Type | State | Issuer |
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1801440367 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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