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Organization
PAMELA CZUJ DBA PERSONAL DYNAMICS CENTER
Active
Organization
PAMELA CZUJ DBA PERSONAL DYNAMICS CENTER
Active
Other names
Personal Dynamics Center
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PAMELA ANN CZUJ LMSW (EXECUTIVE DIRECTOR)
(313) 563-4142
Entity
Organization
Contact information
Practice address
23810 MICHIGAN AVE, DEARBORN, MI 48124-1830
(734) 878-4965
(313) 563-2615
Mailing address
23810 MICHIGAN AVE, DEARBORN, MI 48124-1830
(734) 878-4965
(313) 563-2615
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
1-00442
MI
104100000X
Social Worker
Primary
6801013746
MI
1041C0700X
Clinical Social Worker
6801013746
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
054991
VALUE OPTIONS
MI
01
—
11585836
CIGNA
MI
01
—
8008919700
BLUE CROSS &BLUE SHIELD
MI
Enumeration date
03/09/2007
Last updated
07/08/2008
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