| Full Name | |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 420 W 5th Ave, Flint, Michigan |
| Authorized Official Name and Position | Jean Troop (REIMBURSEMENT OFFICER) |
| Authorized Official Contact | 8104965543 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
725 Mason St Flint MI 48503-2421 Ph: (810) 257-3736 | 420 W 5th Ave Flint MI 48503-2445 Ph: (810) 257-3740 |
| NPI Number | 1548617459 |
|---|---|
| Provider Enumeration Date | 05/20/2016 |
| Last Update Date | 02/15/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548617459 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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