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Organization
PATRICK L. SCHACKMANN LLC
Active
Organization
PATRICK L. SCHACKMANN LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICK LEONARD SHACKMANN ACSW (OWNER/PROVIDER)
(586) 945-5197
Entity
Organization
Contact information
Practice address
36358 GARFIELD, STE ONE, CLINTON TWP, MI 48035-1170
(586) 945-5197
Mailing address
36358 GARFIELD, STE ONE, CLINTON TWP, MI 48035-1170
(586) 945-5197
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0960546
BLUE CROSS
MI
Enumeration date
11/01/2021
Last updated
11/01/2021
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