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Organization
OPAL SENIOR SERVICES LLC
Active
Organization
OPAL SENIOR SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PAMELA LYNNE BYRD MSW LMSW (CHIEF EXECUTIVE OFFICER)
(248) 395-3942
Entity
Organization
Contact information
Practice address
17610 CORNELL, SOUTHFIELD, MI 48075
(248) 395-3942
(248) 395-3759
Mailing address
17610 CORNELL, SOUTHFIELD, MI 48075
(248) 395-3942
(248) 395-3759
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6801088359
MI
Other
Enumeration date
01/03/2007
Last updated
08/22/2020
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