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Organization
TRACY NIYO
Active
Organization
TRACY NIYO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRACY NIYO LCSW (OWNER)
(248) 224-3754
Entity
Organization
Contact information
Practice address
1026 W 11 MILE RD STE C, ROYAL OAK, MI 48067-5403
(248) 224-3754
Mailing address
1258 CATALPA DR, BERKLEY, MI 48072-2048
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
06/13/2022
Last updated
06/13/2022
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