Courtney Blosser
Social Worker, Clinical in Southgate, MI. Individual provider (NPI-1).
NPI number1205282183
StatusActive
Last updated in NPPESMay 10, 2016
Details
- NPI
- 1205282183
- Entity type
- Individual (NPI-1)
- Name
- Courtney Blosser
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 10, 2016
- Last updated
- May 10, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 6801095417 | MI | Yes |
Practice location
19401 Northline RdSouthgate, MI 48195-2277
Phone 734-785-7718 · Fax 734-287-8221
Mailing address
19401 Northline RdSouthgate, MI 48195-2277
Phone 734-785-7718 · Fax 734-287-8221
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