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Organization
LEAN ON ME SERVICES
Active
Organization
LEAN ON ME SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID GRIFFIN LMSW (EXECUTIVE DIRECTOR)
(313) 445-8199
Entity
Organization
Contact information
Practice address
39111 6 MILE RD, LIVONIA, MI 48152-3926
(313) 445-8199
(313) 794-5645
Mailing address
17464 FENTON ST, DETROIT, MI 48219-3640
(313) 445-8199
(313) 794-5645
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6801082621
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
567692
VALUE OPTIONS PROVIDER #
MI
Enumeration date
01/26/2007
Last updated
08/22/2020
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