| |
39393 Van Dyke Ste 209, Sterling Hts, MI 48313-4637 | |
(586) 274-4394 | |
(586) 274-4701 |
Full Name | |
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Speciality | Social Worker - Clinical |
Location | 39393 Van Dyke Ste 209,, Sterling Hts,, Michigan |
Authorized Official Name and Position | Denise Spencer (PRESIDENT) |
Authorized Official Contact | 5862744394 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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39393 Van Dyke Ste 209 Sterling Hts, MI 48313-4637 Ph: (586) 274-4394 | 39393 Van Dyke Ste 209, Sterling Hts, MI 48313-4637 Ph: (586) 274-4394 |
NPI Number | 1922051416 |
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Provider Enumeration Date | 05/18/2006 |
Last Update Date | 08/04/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1922051416 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 6801032921 (Michigan) | Primary |