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57327 Van Dyke Rd Washington MI 48094-2892 | |
| (248) 232-5089 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Social Worker |
| Location | 57327 Van Dyke Rd, Washington, Michigan |
| Authorized Official Name and Position | Katrina Motrinc (THERAPIST/OWNER) |
| Authorized Official Contact | 5862325089 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
57327 Van Dyke Rd Washington MI 48094-2892 Ph: (586) 232-5089 | 57327 Van Dyke Rd Washington MI 48094-2892 Ph: (248) 232-5089 |
| NPI Number | 1477897536 |
|---|---|
| Provider Enumeration Date | 11/15/2012 |
| Last Update Date | 08/19/2019 |
| Medicare PECOS PAC ID | 6204077720 |
|---|---|
| Medicare Enrollment ID | O20130725000955 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477897536 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 6801086210 (Michigan) | Primary |
| Provider Name | Renee Romer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1568920650 PECOS PAC ID: 2264964634 Enrollment ID: I20241010002885 |
| Provider Name | Diane Zajac |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1962196071 PECOS PAC ID: 4789118753 Enrollment ID: I20241113002574 |
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