Introspections Llc | |
37399 Garfield Rd Suite 200 Clinton Twp MI 48036-3672 | |
(586) 776-8885 | |
Not Available |
Full Name | Introspections Llc |
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Speciality | Social Worker |
Location | 37399 Garfield Rd, Clinton Twp, Michigan |
Authorized Official Name and Position | Debra Migliazzo (SELF) |
Authorized Official Contact | 5867768885 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Introspections Llc 37399 Garfield Rd Suite 200 Clinton Twp MI 48036-3672 Ph: (586) 776-8885 | Introspections Llc 37399 Garfield Rd Suite 200 Clinton Twp MI 48036-3672 Ph: (586) 776-8885 |
NPI Number | 1760880025 |
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Provider Enumeration Date | 12/18/2014 |
Last Update Date | 12/18/2014 |
Medicare PECOS PAC ID | 0345551388 |
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Medicare Enrollment ID | O20150618000109 |
Identifier | Type | State | Issuer |
---|---|---|---|
1760880025 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 6801079987 (Michigan) | Primary |
Provider Name | Debra M Migliazzo |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1881867158 PECOS PAC ID: 5698916559 Enrollment ID: I20130719000106 |
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