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Organization
RELATIONSHIP TIMES
Active
Organization
RELATIONSHIP TIMES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ROSEANESTA RODNEZ-SIMPSON LMSW (CEO)
(248) 730-0602
Entity
Organization
Contact information
Practice address
5582 HOBNAIL CIR, WEST BLOOMFIELD, MI 48322-1628
(248) 730-0602
Mailing address
5582 HOBNAIL CIR, WEST BLOOMFIELD, MI 48322-1628
(248) 730-0602
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6801080159
MI
251S00000X
Community/Behavioral Health Agency
6801080159
MI
Other
Enumeration date
08/28/2008
Last updated
01/14/2009
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