Matt Sweet Msw Pc | |
25600 Woodward Ave Suite 100 Royal Oak MI 48067-0943 | |
(248) 930-2137 | |
(248) 584-3334 |
Full Name | Matt Sweet Msw Pc |
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Speciality | Counselor |
Location | 25600 Woodward Ave, Royal Oak, Michigan |
Authorized Official Name and Position | Matthew W. Sweet (OWNER) |
Authorized Official Contact | 2489302137 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Matt Sweet Msw Pc 25600 Woodward Ave Suite 100 Royal Oak MI 48067-0943 Ph: (248) 930-2137 | Matt Sweet Msw Pc 25600 Woodward Ave Suite 100 Royal Oak MI 48067-0943 Ph: (248) 930-2137 |
NPI Number | 1467700971 |
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Provider Enumeration Date | 08/15/2012 |
Last Update Date | 08/15/2012 |
Medicare PECOS PAC ID | 9537312962 |
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Medicare Enrollment ID | O20130114000300 |
Identifier | Type | State | Issuer |
---|---|---|---|
1467700971 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101Y00000X | Counselor | 6801086967 (Michigan) | Primary |
Provider Name | Matthew W Sweet |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1780773549 PECOS PAC ID: 9335392760 Enrollment ID: I20130114000320 |
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