Leighton's Light Pllc | |
3045 Baker Rd Ste 1 Dexter MI 48130-1163 | |
(517) 748-3914 | |
Not Available |
Full Name | Leighton's Light Pllc |
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Speciality | Social Worker |
Location | 3045 Baker Rd Ste 1, Dexter, Michigan |
Authorized Official Name and Position | Sheri Jean Leighton (LMSW/OWNER) |
Authorized Official Contact | 5177483914 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Leighton's Light Pllc 3045 Baker Rd Ste 1 Dexter MI 48130-1163 Ph: (517) 748-3914 | Leighton's Light Pllc 3045 Baker Rd Ste 1 Dexter MI 48130-1163 Ph: (517) 748-3914 |
NPI Number | 1770145757 |
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Provider Enumeration Date | 07/01/2019 |
Last Update Date | 07/01/2019 |
Medicare PECOS PAC ID | 0446587661 |
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Medicare Enrollment ID | O20190812001536 |
Identifier | Type | State | Issuer |
---|---|---|---|
1770145757 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Provider Name | Sheri Jean Leighton |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1730747049 PECOS PAC ID: 2264769488 Enrollment ID: I20190812001705 |
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