| Soka Services | |
|
22511 Telegraph Rd Suite 101 Southfield MI 48033-4115 | |
| (248) 356-0540 | |
| (248) 356-0539 |
| Full Name | Soka Services |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 22511 Telegraph Rd, Southfield, Michigan |
| Authorized Official Name and Position | Shalon Denise Lee (PRESIDENT CEO) |
| Authorized Official Contact | 2484510540 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Soka Services Po Box 250693 West Bloomfield MI 48325-0693 Ph: (248) 356-0540 | Soka Services 22511 Telegraph Rd Suite 101 Southfield MI 48033-4115 Ph: (248) 356-0540 |
| NPI Number | 1790795946 |
|---|---|
| Provider Enumeration Date | 08/09/2006 |
| Last Update Date | 10/01/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790795946 | NPI | - | NPPES |
| 800F323610 | Other | BLUE CROSS BLUE SHIELD | |
| DC6241 | Other | MEDICARE RAILROAD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (Michigan) | Primary |
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