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2nd To None

Social Worker, Clinical in Detroit, MI. Organization (NPI-2).

NPI number1164706495
StatusActive
Last updated in NPPESOct 5, 2011

Details

NPI
1164706495
Entity type
Organization (NPI-2)
Legal business name
2nd To None
Organization subpart
No
Enumeration date
Oct 5, 2011
Last updated
Oct 5, 2011

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1041C0700X Social Worker, Clinical––Yes

Practice location

8255 2nd Ave
Suite 101
Detroit, MI 48202-2405

Phone 313-874-3129

Mailing address

8255 2nd Ave
Suite 101
Detroit, MI 48202-2405

Authorized official

Markea Jenkins
Owner
3138743129

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