| E3 Michigan | |
|
16201 Caitlin Cir Commerce Township MI 48390-5857 | |
| (248) 672-7128 | |
| Not Available |
| Full Name | E3 Michigan |
|---|---|
| Speciality | Social Worker |
| Location | 16201 Caitlin Cir, Commerce Township, Michigan |
| Authorized Official Name and Position | Ashley Gray (OWNER) |
| Authorized Official Contact | 2486727128 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| E3 Michigan 16201 Caitlin Cir Commerce Township MI 48390-5857 Ph: (248) 672-7128 | E3 Michigan 16201 Caitlin Cir Commerce Township MI 48390-5857 Ph: (248) 672-7128 |
| NPI Number | 1649826710 |
|---|---|
| Provider Enumeration Date | 08/14/2019 |
| Last Update Date | 08/14/2019 |
| Medicare PECOS PAC ID | 7113255274 |
|---|---|
| Medicare Enrollment ID | O20190827003206 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649826710 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Sylvia Lcsw Gray |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023663036 PECOS PAC ID: 8123356276 Enrollment ID: I20190827003116 |
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