| Pamela Houck, Lmsw, Llc | |
|
9020 Manor Allen Park MI 48101-3435 | |
| (313) 382-8851 | |
| Not Available |
| Full Name | Pamela Houck, Lmsw, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 9020 Manor, Allen Park, Michigan |
| Authorized Official Name and Position | Pamela Houck (OWNER) |
| Authorized Official Contact | 3133828851 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pamela Houck, Lmsw, Llc 9020 Manor Ave Allen Park MI 48101-3435 Ph: (313) 382-8851 | Pamela Houck, Lmsw, Llc 9020 Manor Allen Park MI 48101-3435 Ph: (313) 382-8851 |
| NPI Number | 1376802009 |
|---|---|
| Provider Enumeration Date | 05/15/2012 |
| Last Update Date | 05/15/2012 |
| Medicare PECOS PAC ID | 5092961748 |
|---|---|
| Medicare Enrollment ID | O20120810000756 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376802009 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 6801060662 (Michigan) | Primary |
| Provider Name | Pamela S Houck |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265655955 PECOS PAC ID: 4880728054 Enrollment ID: I20100810001080 |
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