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Organization
SOKA SERVICES
Active
Organization
SOKA SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SHALON DENISE LEE LMSW ACSW CFAE (PRESIDENT CEO)
(248) 451-0540
Entity
Organization
Contact information
Practice address
22511 TELEGRAPH RD, SUITE 101, SOUTHFIELD, MI 48033-4115
(248) 356-0540
(248) 356-0539
Mailing address
PO BOX 250693, WEST BLOOMFIELD, MI 48325-0693
(248) 356-0540
(248) 356-0539
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
800F323610
BLUE CROSS BLUE SHIELD
—
01
—
DC6241
MEDICARE RAILROAD
—
Enumeration date
08/09/2006
Last updated
10/01/2008
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