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Organization
TRI-CARE PC. DBA NORTHLAND CLINIC
Active
Organization
TRI-CARE PC. DBA NORTHLAND CLINIC
Active
Other names
Northland Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LOUIS GOLDMAN LMSW (CO-DIRECTOR)
(248) 559-8190
Entity
Organization
Contact information
Practice address
20300 CIVIC CENTER DR, STE. 303, SOUTHFIELD, MI 48076-4105
(248) 559-8190
(248) 559-8776
Mailing address
20300 CIVIC CENTER DR, STE. 303, SOUTHFIELD, MI 48076-4105
(248) 559-8190
(248) 559-8776
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6801000531
MI
Other
Enumeration date
04/05/2011
Last updated
04/05/2011
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