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Organization
FUTURES HEALTHCORE, LLC
Active
Organization
FUTURES HEALTHCORE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SUSAN GANNON M.A., CCC-SLP (REGIONAL DIRECTOR OF MICHIGAN)
(734) 407-2500
Entity
Organization
Contact information
Practice address
3101 S GULLEY RD, SUITE F, DEARBORN, MI 48124-4406
(734) 407-2500
Mailing address
136 WILLIAM ST, SPRINGFIELD, MA 01105-2349
(800) 218-9280
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
NULL
103T00000X
Psychologist
—
—
133V00000X
Registered Dietitian
—
NULL
133V00000X
Registered Dietitian
—
—
225100000X
Physical Therapist
—
NULL
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
NULL
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
NULL
235Z00000X
Speech-Language Pathologist
—
—
261QC1500X
Community Health Clinic/Center
Primary
—
NULL
Other
Enumeration date
11/29/2006
Last updated
08/06/2015
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