| Northland Clinic | |
|
20300 Civic Center Dr Ste. 303 Southfield MI 48076-4105 | |
| (248) 559-8190 | |
| (248) 559-8776 |
| Full Name | Northland Clinic |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 20300 Civic Center Dr, Southfield, Michigan |
| Authorized Official Name and Position | Louis Goldman (CO-DIRECTOR) |
| Authorized Official Contact | 2485598190 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Northland Clinic 20300 Civic Center Dr Ste. 303 Southfield MI 48076-4105 Ph: (248) 559-8190 | Northland Clinic 20300 Civic Center Dr Ste. 303 Southfield MI 48076-4105 Ph: (248) 559-8190 |
| NPI Number | 1366731879 |
|---|---|
| Provider Enumeration Date | 04/05/2011 |
| Last Update Date | 04/05/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366731879 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 6801000531 (Michigan) | Primary |
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