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25925 Telegraph Rd Ste 103 Southfield MI 48033-2527 | |
| (313) 405-8064 | |
| (313) 429-7649 |
| Full Name | |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 25925 Telegraph Rd Ste 103, Southfield, Michigan |
| Authorized Official Name and Position | Tacara L Woods (OWNER/SOCIAL WORKER) |
| Authorized Official Contact | 3133085510 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
Po Box 753 Eastpointe MI 48021-0753 Ph: (313) 405-8064 | 25925 Telegraph Rd Ste 103 Southfield MI 48033-2527 Ph: (313) 405-8064 |
| NPI Number | 1144627027 |
|---|---|
| Provider Enumeration Date | 11/20/2014 |
| Last Update Date | 02/13/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144627027 | NPI | - | NPPES |
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