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Organization
ENNIS CENTER FOR CHILDREN, INC
Active
Organization
ENNIS CENTER FOR CHILDREN, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LINTON T. MATTHEWS JR. LMSW (SOCIAL WORKER)
(313) 220-4760
Entity
Organization
Contact information
Practice address
91 S TELEGRAPH RD, PONTIAC, MI 48341-1580
(248) 334-2715
Mailing address
8752 W OUTER DR, DETROIT, MI 48219-3589
(313) 220-4760
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6801091820
MI
Other
Enumeration date
03/30/2014
Last updated
03/30/2014
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