Cube | |
18245 10 Mile Road Suite 140 Roseville MI 48066 | |
(586) 218-7532 | |
Not Available |
Full Name | Cube |
---|---|
Speciality | Social Worker - Clinical |
Location | 18245 10 Mile Road, Roseville, Michigan |
Authorized Official Name and Position | Gerald Terlep (OWNER / PROVIDER) |
Authorized Official Contact | 5862187532 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Cube 50486 Jefferson New Baltimore MI 48047 Ph: (586) 218-7532 | Cube 18245 10 Mile Road Suite 140 Roseville MI 48066 Ph: (586) 218-7532 |
NPI Number | 1316532260 |
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Provider Enumeration Date | 03/03/2021 |
Last Update Date | 03/03/2021 |
Certification Date | 02/22/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1316532260 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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