| Leslie Pertz, Lmsw, Nic, Pllc | |
|
2035 Hogback Rd Ste 210 Ann Arbor MI 48105-9732 | |
| (734) 926-8590 | |
| Not Available |
| Full Name | Leslie Pertz, Lmsw, Nic, Pllc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 2035 Hogback Rd, Ann Arbor, Michigan |
| Authorized Official Name and Position | Leslie Pertz (OWNER) |
| Authorized Official Contact | 5172144724 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Leslie Pertz, Lmsw, Nic, Pllc 2712 Lillian Rd Ann Arbor MI 48104-5300 Ph: () - | Leslie Pertz, Lmsw, Nic, Pllc 2035 Hogback Rd Ste 210 Ann Arbor MI 48105-9732 Ph: (734) 926-8590 |
| NPI Number | 1144767419 |
|---|---|
| Provider Enumeration Date | 01/25/2017 |
| Last Update Date | 01/25/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144767419 | NPI | - | NPPES |
| 1922425529 | Other | TYPE I NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 6801093183 (Michigan) | Primary |
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