| Landmark Therapy Pllc | |
|
26677 W 12 Mile Rd Southfield MI 48034-1514 | |
| (248) 581-0598 | |
| (248) 588-3211 |
| Full Name | Landmark Therapy Pllc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 26677 W 12 Mile Rd, Southfield, Michigan |
| Authorized Official Name and Position | James Wickersham (OWNER) |
| Authorized Official Contact | 2485810598 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Landmark Therapy Pllc 26677 W 12 Mile Rd Southfield MI 48034-1514 Ph: (248) 581-0598 | Landmark Therapy Pllc 26677 W 12 Mile Rd Southfield MI 48034-1514 Ph: (248) 581-0598 |
| NPI Number | 1629836606 |
|---|---|
| Provider Enumeration Date | 03/13/2024 |
| Last Update Date | 03/13/2024 |
| Certification Date | 03/13/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629836606 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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