Meribeth Gandy Pezda LLC
Social Worker, Clinical in Dexter, MI. Organization (NPI-2).
NPI number1982156980
StatusActive
Last updated in NPPESOct 26, 2016
Details
- NPI
- 1982156980
- Entity type
- Organization (NPI-2)
- Legal business name
- Meribeth Gandy Pezda LLC
- Organization subpart
- No
- Enumeration date
- Oct 26, 2016
- Last updated
- Oct 26, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 6801070819 | MI | Yes |
Practice location
959 Baker RdSuite 1a
Dexter, MI 48130-1593
Phone 734-757-3103
Mailing address
959 Baker RdSuite 1a
Dexter, MI 48130-1593
Phone 734-757-3103
Authorized official
Meribeth Gandy Pezda
Licensed Clinical Social Worker
7347573103
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