| Life Learning Intervention Services Llc | |
|
18400 Snowden St Detroit MI 48235-1360 | |
| (313) 629-7551 | |
| Not Available |
| Full Name | Life Learning Intervention Services Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 18400 Snowden St, Detroit, Michigan |
| Authorized Official Name and Position | Tina Davis (ADMINISTRATOR) |
| Authorized Official Contact | 3136297551 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Life Learning Intervention Services Llc 18400 Snowden St Detroit MI 48235-1360 Ph: (313) 629-7551 | Life Learning Intervention Services Llc 18400 Snowden St Detroit MI 48235-1360 Ph: (313) 629-7551 |
| NPI Number | 1730690298 |
|---|---|
| Provider Enumeration Date | 10/23/2017 |
| Last Update Date | 10/23/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730690298 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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