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Organization
MARJORIE A SOPER P.C.
Active
Organization
MARJORIE A SOPER P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARJORIE A SOPER LMSW, CSW (THERAPIST)
(810) 579-5757
Entity
Organization
Contact information
Practice address
12751 S SAGINAW ST, STE 700, GRAND BLANC, MI 48439-2751
(810) 579-5757
(810) 579-5757
Mailing address
4465 ATLAS RD, DAVISON, MI 48423-8707
(810) 579-5757
(810) 579-5757
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6801063883
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
037804
VALUE OPTIONS
MI
01
—
2053431
CIGNA
MI
01
—
38-1213512
TRICARE
MI
01
—
39940
MAGELLAN
MI
01
—
800894156
BLUE CROSS OF MICHIGAN
MI
Enumeration date
01/10/2007
Last updated
04/22/2008
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