| Karen Faith Llc | |
|
6265 Pinecroft Dr West Bloomfield MI 48322-2242 | |
| (248) 225-5936 | |
| Not Available |
| Full Name | Karen Faith Llc |
|---|---|
| Speciality | Social Worker |
| Location | 6265 Pinecroft Dr, West Bloomfield, Michigan |
| Authorized Official Name and Position | Karen Faith Gordon (OWNER) |
| Authorized Official Contact | 2482255936 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Karen Faith Llc 6265 Pinecroft Dr West Bloomfield MI 48322-2242 Ph: (248) 225-5936 | Karen Faith Llc 6265 Pinecroft Dr West Bloomfield MI 48322-2242 Ph: (248) 225-5936 |
| NPI Number | 1831724343 |
|---|---|
| Provider Enumeration Date | 03/04/2020 |
| Last Update Date | 03/04/2020 |
| Certification Date | 03/04/2020 |
| Medicare PECOS PAC ID | 4385065309 |
|---|---|
| Medicare Enrollment ID | O20200529002276 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831724343 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Karen Gordon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346710589 PECOS PAC ID: 0648691667 Enrollment ID: I20200529002334 |
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