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27739 Jefferson Ave Saint Clair Shores MI 48081-1309 | |
| (586) 777-2115 | |
| (313) 731-1943 |
| Full Name | |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 27739 Jefferson Ave, Saint Clair Shores, Michigan |
| Authorized Official Name and Position | Mary Beth Ryan (EXECUTIVE VICE PRESIDENT) |
| Authorized Official Contact | 5867772115 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
27739 Jefferson Ave Saint Clair Shores MI 48081-1309 Ph: (586) 777-2115 | 27739 Jefferson Ave Saint Clair Shores MI 48081-1309 Ph: (586) 777-2115 |
| NPI Number | 1962915132 |
|---|---|
| Provider Enumeration Date | 11/09/2017 |
| Last Update Date | 12/15/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962915132 | NPI | - | NPPES |
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