in Detroit - Clinical

- NPI 1841457603

is a Clinical in Detroit, Michigan. practices all healthcare services and medical treatments related to Clinical. The NPI Number for is 1841457603. The last update date is .

's current location address is 220 Bagley St, Detroit, Michigan. You can contact this provider via phone number 3135062514 and fax number 3139637727. The mailing address for is 220 Bagley St, Detroit, Michigan. To know further, please read the information below!

Provider Profile Detail

Provider Name
Address 220 Bagley St, Detroit, Michigan
Phone Number 3135062514
Fax Number 3139637727
Sole Proprietor --
Credentials --

NPI Number Detail

NPI Number 1841457603
Provider Enumeration Date
Last Updated Date

Provider Mailing Address Detail

Address 220 Bagley St
City Detroit
State Michigan (MI)
Post Code 482261400
Phone Number 3135062514
Fax Number 3139637727

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 1041C0700X
Licence No 6801066637
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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