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Organization
PRIMECARE 1 LLC
Active
Organization
PRIMECARE 1 LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CRISTIAN RUSU (MANAGER/OWNER)
(313) 586-2822
Entity
Organization
Contact information
Practice address
6861 N CLUNBURY RD, WEST BLOOMFIELD, MI 48322-4316
(313) 586-2822
Mailing address
6861 N CLUNBURY RD, WEST BLOOMFIELD, MI 48322-4316
(313) 586-2822
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
12/17/2018
Last updated
12/17/2018
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