| Sally G Booth-schwadron Llc | |
|
580 Forest Ave Ste 4b Plymouth MI 48170-1780 | |
| (734) 474-6824 | |
| Not Available |
| Full Name | Sally G Booth-schwadron Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 580 Forest Ave Ste 4b, Plymouth, Michigan |
| Authorized Official Name and Position | Sally G Booth-schwadron (PSYCHOTHERAPIST) |
| Authorized Official Contact | 7344746824 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sally G Booth-schwadron Llc Po Box 1347 Ann Arbor MI 48106-1347 Ph: (734) 474-6824 | Sally G Booth-schwadron Llc 580 Forest Ave Ste 4b Plymouth MI 48170-1780 Ph: (734) 474-6824 |
| NPI Number | 1750151916 |
|---|---|
| Provider Enumeration Date | 01/08/2024 |
| Last Update Date | 01/08/2024 |
| Certification Date | 01/08/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750151916 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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