| Faustinia Loper, Acsw, Lmsw, Pc | |
|
17515 W 9 Mile Rd Suite 375 Southfield MI 48075-4403 | |
| (248) 358-6780 | |
| (248) 358-6780 |
| Full Name | Faustinia Loper, Acsw, Lmsw, Pc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 17515 W 9 Mile Rd, Southfield, Michigan |
| Authorized Official Name and Position | Faustinia Talison Loper (PRESIDENT/CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 2483586780 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Faustinia Loper, Acsw, Lmsw, Pc 17515 W 9 Mile Rd Suite 375 Southfield MI 48075-4403 Ph: (248) 358-6780 | Faustinia Loper, Acsw, Lmsw, Pc 17515 W 9 Mile Rd Suite 375 Southfield MI 48075-4403 Ph: (248) 358-6780 |
| NPI Number | 1699002907 |
|---|---|
| Provider Enumeration Date | 11/06/2009 |
| Last Update Date | 11/16/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699002907 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 6801014838 (Michigan) | Primary |
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