| Meribeth Gandy Pezda Llc | |
|
959 Baker Rd Suite 1a Dexter MI 48130-1593 | |
| (734) 757-3103 | |
| Not Available |
| Full Name | Meribeth Gandy Pezda Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 959 Baker Rd, Dexter, Michigan |
| Authorized Official Name and Position | Meribeth Gandy Pezda (LICENSED CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 7347573103 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Meribeth Gandy Pezda Llc 959 Baker Rd Suite 1a Dexter MI 48130-1593 Ph: (734) 757-3103 | Meribeth Gandy Pezda Llc 959 Baker Rd Suite 1a Dexter MI 48130-1593 Ph: (734) 757-3103 |
| NPI Number | 1982156980 |
|---|---|
| Provider Enumeration Date | 10/26/2016 |
| Last Update Date | 10/26/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982156980 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 6801070819 (Michigan) | Primary |
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