| Deborah Mctyre Msw Lmsw Llc | |
|
21925 Sussex St Oak Park MI 48237-3511 | |
| (313) 515-1863 | |
| Not Available |
| Full Name | Deborah Mctyre Msw Lmsw Llc |
|---|---|
| Speciality | Social Worker |
| Location | 21925 Sussex St, Oak Park, Michigan |
| Authorized Official Name and Position | Deborah Mctyre (OWNER) |
| Authorized Official Contact | 3135151863 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Deborah Mctyre Msw Lmsw Llc 21925 Sussex St Oak Park MI 48237-3511 Ph: (313) 515-1863 | Deborah Mctyre Msw Lmsw Llc 21925 Sussex St Oak Park MI 48237-3511 Ph: (313) 515-1863 |
| NPI Number | 1043780976 |
|---|---|
| Provider Enumeration Date | 12/04/2018 |
| Last Update Date | 12/04/2018 |
| Medicare PECOS PAC ID | 0749520047 |
|---|---|
| Medicare Enrollment ID | O20190325000761 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043780976 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Deborah Mctyre |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1851591838 PECOS PAC ID: 8921349085 Enrollment ID: I20190418000765 |
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