Mary G. Koukios is a Clinical in Roseville, Michigan. Mary G. Koukios practices all healthcare services and medical treatments related to Clinical. The NPI Number for Mary G. Koukios is 1366643645. The last update date is 2007-07-08.
Mary G. Koukios's current location address is 25869 Kelly Rd Ste A, Roseville, Michigan. You can contact this provider via phone number 5867736020 and fax number 5867736093. The mailing address for Mary G. Koukios is 25869 Kelly Rd Ste A, Roseville, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mary G. Koukios |
|---|---|
| Address | 25869 Kelly Rd Ste A, Roseville, Michigan |
| Phone Number | 5867736020 |
| Fax Number | 5867736093 |
| Sole Proprietor | N |
| Credentials | L.M.S.W. |
NPI Number Detail
| NPI Number | 1366643645 |
|---|---|
| Provider Enumeration Date | 2007-05-31 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 25869 Kelly Rd Ste A |
|---|---|
| City | Roseville |
| State | Michigan (MI) |
| Post Code | 480664997 |
| Phone Number | 5867736020 |
| Fax Number | 5867736093 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 6801085151 |
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Definition: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif |
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Post Comment/ Review Below
What is the unique identifier code issued to Mary G. Koukios by the Centers for Medicare & Medicaid Services (CMS)?
The Mary G. Koukios has been assigned the NPI (National Provider Identifier) 1366643645. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please share the complete physical location address where Mary G. Koukios's facilities are situated?
The facilities of Mary G. Koukios are physically located at the following address: 25869 Kelly Rd Ste A, Roseville, MI, 480664997.
What is the Mary G. Koukios's specialty and taxonomy code?
The Mary G. Koukios's specialty is Clinical, and the corresponding taxonomy code is 1041C0700X.
When did the Mary G. Koukios receive its 1366643645?
The Mary G. Koukios was issued its 1366643645 on 2007-05-31, which is the date when the organization was assigned this unique identifier.
As of what date was the information pertaining to Mary G. Koukios, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Mary G. Koukios, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.
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