Mark Andrew Small LMSW

NPI 1649430653 - Social Worker - 1041C0700X

NPI Details
NPI 1649430653
Gender Male
Enumeration Date 06/12/2008
Last Updated 06/12/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
19291 NORTHLINE RD
SOUTHGATE MI, 48195-2220, US
Phone (734) 287-1500
Fax (734) 287-1660
Business Location
5105 PRENTIS DR
TROY MI, 48085-3483, US
Phone (248) 526-2859
Fax
Toxanomy
Taxonomy Code 1041C0700X
License State Michigan
License Number 6801057010
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According to our database, Mr. Mark Andrew Small LMSW NPI is 1649430653, taxonomy code is 1041C0700X and license number is 6801057010, license state is located at Michigan. Mark Andrew Small LMSW physically located at 19291 Northline Rd, Southgate MI, 48195-2220. NPI Number Mark Andrew Small LMSW has the Individual type.

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1649430653 NPI number is provided on an as is basis without warranty of any kind. 1649430653 is maintained by the National Plan & Provider Enumeration System. The contents of Mark Andrew Small LMSW are for informational purposes only.