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Organization
INTERVENTION NETWORK INC.
Active
Organization
INTERVENTION NETWORK INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LOUISE STEPHANIE DERY L.M.S.W. (ADMINISTRATOR)
(734) 422-2606
Entity
Organization
Contact information
Practice address
8410 FLAMINGO ST, WESTLAND, MI 48185-1762
(734) 422-2606
(734) 422-2608
Mailing address
PO BOX 871004, CANTON, MI 48187-6004
(734) 422-2606
(724) 422-2608
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
02/15/2007
Last updated
08/22/2020
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