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Organization
SELECTIVE CARE CASE MANAGEMENT LLC
Active
Organization
SELECTIVE CARE CASE MANAGEMENT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACALYN BEAVERS LMSW (ADMINSTRATOR)
(248) 210-6001
Entity
Organization
Contact information
Practice address
24100 SOUTHFIELD RD, SOUTHFIELD, MI 48075-2819
(248) 210-6001
Mailing address
30700 TELEGRAPH RD STE 1645, BINGHAM FARMS, MI 48025-4525
(248) 283-1100
(248) 283-1103
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
11/23/2020
Last updated
11/23/2020
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