| Holly Nabozny Inc | |
|
36389 Harper Ave Clinton Twp MI 48035-2958 | |
| (248) 219-8756 | |
| Not Available |
| Full Name | Holly Nabozny Inc |
|---|---|
| Speciality | Social Worker |
| Location | 36389 Harper Ave, Clinton Twp, Michigan |
| Authorized Official Name and Position | Holly Nabozny (PRESIDENT) |
| Authorized Official Contact | 2482198756 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Holly Nabozny Inc 119 Rhode Island Ave Royal Oak MI 48067-3730 Ph: (248) 219-8756 | Holly Nabozny Inc 36389 Harper Ave Clinton Twp MI 48035-2958 Ph: (248) 219-8756 |
| NPI Number | 1023410131 |
|---|---|
| Provider Enumeration Date | 09/19/2014 |
| Last Update Date | 09/19/2014 |
| Medicare PECOS PAC ID | 8426279662 |
|---|---|
| Medicare Enrollment ID | O20141031001287 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023410131 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 6801090910 (Michigan) | Primary |
| Provider Name | Holly Nabozny |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1114026051 PECOS PAC ID: 9335360577 Enrollment ID: I20141031002085 |
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