| Debra Mary Gregory Pc Llc | |
|
7130 Walnut Lake Road West Bloomfield MI 48323 | |
| (248) 568-1344 | |
| (248) 922-9040 |
| Full Name | Debra Mary Gregory Pc Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 7130 Walnut Lake Road, West Bloomfield, Michigan |
| Authorized Official Name and Position | Debra Mary Gregory (CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 2485681344 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Debra Mary Gregory Pc Llc 5639 Sashabaw Rd Clarkston MI 48346-3149 Ph: (248) 568-1344 | Debra Mary Gregory Pc Llc 7130 Walnut Lake Road West Bloomfield MI 48323 Ph: (248) 568-1344 |
| NPI Number | 1952611782 |
|---|---|
| Provider Enumeration Date | 10/14/2010 |
| Last Update Date | 10/14/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952611782 | NPI | - | NPPES |
| 8008965160 | Other | MI | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 6801033761 (Michigan) | Primary |
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