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Organization
LUNA HEALTH
Active
Organization
LUNA HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CATHY GALLEGOS (CREDENTIALING BILLING MANAGER)
(517) 483-2461
Entity
Organization
Contact information
Practice address
29551 GREENFIELD RD STE 116, SOUTHFIELD, MI 48076-5871
(248) 974-6565
(517) 323-9531
Mailing address
29551 GREENFIELD RD STE 116, SOUTHFIELD, MI 48076-5871
(248) 974-6565
(517) 323-9531
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
11/13/2020
Last updated
11/13/2020
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