| Josephine Salem Consulting Pllc | |
|
1249 Glenwood Ct Walled Lake MI 48390-2925 | |
| (248) 736-9373 | |
| Not Available |
| Full Name | Josephine Salem Consulting Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 1249 Glenwood Ct, Walled Lake, Michigan |
| Authorized Official Name and Position | Josephine Marie Salem (OWNER) |
| Authorized Official Contact | 2487369373 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Josephine Salem Consulting Pllc 1249 Glenwood Ct Walled Lake MI 48390-2925 Ph: () - | Josephine Salem Consulting Pllc 1249 Glenwood Ct Walled Lake MI 48390-2925 Ph: (248) 736-9373 |
| NPI Number | 1477314359 |
|---|---|
| Provider Enumeration Date | 01/18/2024 |
| Last Update Date | 01/18/2024 |
| Certification Date | 01/18/2024 |
| Medicare PECOS PAC ID | 2062855547 |
|---|---|
| Medicare Enrollment ID | O20240212003786 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477314359 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Josephine M Salem |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1184638876 PECOS PAC ID: 6002989167 Enrollment ID: I20080722000721 |
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