Vickie Novell, P.l.l.c. | |
3125 Oakshire Ave Berkley MI 48072-3806 | |
(313) 437-1724 | |
Not Available |
Full Name | Vickie Novell, P.l.l.c. |
---|---|
Speciality | Social Worker - Clinical |
Location | 3125 Oakshire Ave, Berkley, Michigan |
Authorized Official Name and Position | Vickie Novell (OWNER) |
Authorized Official Contact | 3134371724 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Vickie Novell, P.l.l.c. 3125 Oakshire Ave Berkley MI 48072-3806 Ph: (313) 437-1724 | Vickie Novell, P.l.l.c. 3125 Oakshire Ave Berkley MI 48072-3806 Ph: (313) 437-1724 |
NPI Number | 1073122750 |
---|---|
Provider Enumeration Date | 07/28/2020 |
Last Update Date | 07/28/2020 |
Certification Date | 07/28/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1073122750 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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