| Doluge Behavioral Services Pllc | |
|
220 W Congress St 2nd Floor Detroit MI 48226-3289 | |
| (313) 963-4979 | |
| Not Available |
| Full Name | Doluge Behavioral Services Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 220 W Congress St, Detroit, Michigan |
| Authorized Official Name and Position | Gloria Jackson (MSW) |
| Authorized Official Contact | 3139634979 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Doluge Behavioral Services Pllc 220 W Congress St 2nd Floor Detroit MI 48226-3289 Ph: (313) 963-4979 | Doluge Behavioral Services Pllc 220 W Congress St 2nd Floor Detroit MI 48226-3289 Ph: (313) 963-4979 |
| NPI Number | 1902086218 |
|---|---|
| Provider Enumeration Date | 11/05/2007 |
| Last Update Date | 04/20/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902086218 | NPI | - | NPPES |
| 8008971660 | Other | MI | BLUE CROSS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | 6801019214 (Michigan) | Primary |
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