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Organization
LESLIE PERTZ, LMSW, NIC, PLLC
Active
Organization
LESLIE PERTZ, LMSW, NIC, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LESLIE PERTZ LMSW (OWNER)
(517) 214-4724
Entity
Organization
Contact information
Practice address
2035 HOGBACK RD, STE 210, ANN ARBOR, MI 48105-9732
(734) 926-8590
Mailing address
2712 LILLIAN RD, ANN ARBOR, MI 48104-5300
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6801093183
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1922425529
TYPE I NPI
—
Enumeration date
01/25/2017
Last updated
01/25/2017
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