| Esmeralda Shaska Lmsw, Llc | |
|
415 S West St Ste 150 Royal Oak MI 48067-2521 | |
| (313) 622-7583 | |
| Not Available |
| Full Name | Esmeralda Shaska Lmsw, Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 415 S West St Ste 150, Royal Oak, Michigan |
| Authorized Official Name and Position | Esmeralda Shaska (CLINICAL SW) |
| Authorized Official Contact | 3136227583 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Esmeralda Shaska Lmsw, Llc 1830 Evergreen Dr Royal Oak MI 48073-3911 Ph: (313) 622-7583 | Esmeralda Shaska Lmsw, Llc 415 S West St Ste 150 Royal Oak MI 48067-2521 Ph: (313) 622-7583 |
| NPI Number | 1295240257 |
|---|---|
| Provider Enumeration Date | 12/12/2017 |
| Last Update Date | 12/12/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295240257 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 6801085518 (Michigan) | Primary |
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