| |
11297 Lesure Dr Sterling Heights MI 48312-1250 | |
(313) 742-6847 | |
(586) 353-1902 |
Full Name | |
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Speciality | Social Worker - Clinical |
Location | 11297 Lesure Dr, Sterling Heights, Michigan |
Authorized Official Name and Position | Cutise Boswell (CEO/OWNER) |
Authorized Official Contact | 3137426847 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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11297 Lesure Dr Sterling Heights MI 48312-1250 Ph: (313) 742-6847 | 11297 Lesure Dr Sterling Heights MI 48312-1250 Ph: (313) 742-6847 |
NPI Number | 1497454052 |
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Provider Enumeration Date | 03/02/2023 |
Last Update Date | 06/01/2023 |
Certification Date | 06/01/2023 |
Identifier | Type | State | Issuer |
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1497454052 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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