| Superior Support Llc | |
|
30643 Hidden Pines Ln Roseville MI 48066-7302 | |
| (586) 772-3523 | |
| Not Available |
| Full Name | Superior Support Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 30643 Hidden Pines Ln, Roseville, Michigan |
| Authorized Official Name and Position | Cynthia Ann Konal (MEMBER) |
| Authorized Official Contact | 5867723523 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Superior Support Llc 30643 Hidden Pines Ln Roseville MI 48066-7302 Ph: (586) 772-3523 | Superior Support Llc 30643 Hidden Pines Ln Roseville MI 48066-7302 Ph: (586) 772-3523 |
| NPI Number | 1679629992 |
|---|---|
| Provider Enumeration Date | 01/27/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679629992 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | B2110Y (Michigan) | Primary |
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