| Combined Success | |
|
18620 W 10 Mile Rd Southfield MI 48075-2667 | |
| (248) 763-0801 | |
| Not Available |
| Full Name | Combined Success |
|---|---|
| Speciality | Community Health Worker |
| Location | 18620 W 10 Mile Rd, Southfield, Michigan |
| Authorized Official Name and Position | Ida Veronica Colquitt (THERAPIST) |
| Authorized Official Contact | 2487630801 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Combined Success 20690 Wayland St Southfield MI 48076-5666 Ph: (248) 763-0801 | Combined Success 18620 W 10 Mile Rd Southfield MI 48075-2667 Ph: (248) 763-0801 |
| NPI Number | 1457948598 |
|---|---|
| Provider Enumeration Date | 12/23/2020 |
| Last Update Date | 12/23/2020 |
| Certification Date | 12/23/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457948598 | NPI | - | NPPES |
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