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Organization
EASTER SEALS - MICHIGAN
Active
Organization
EASTER SEALS - MICHIGAN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KERRI SELLERS MA (SITE MANGAGE)
(248) 372-6800
Entity
Organization
Contact information
Practice address
22150 W 9 MILE RD, SOUTHFIELD, MI 48033-6007
(248) 372-6800
(248) 357-6090
Mailing address
22150 W 9 MILE RD, SOUTHFIELD, MI 48033-6007
(248) 372-6800
(248) 357-6090
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6801088483
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1003028226
—
MI
Enumeration date
05/02/2007
Last updated
11/01/2010
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