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Organization
MISIDE (SOUTHWEST SOLUTIONS)
Active
Organization
MISIDE (SOUTHWEST SOLUTIONS)
Active
Organization subpart
No
Provider details
NPI number
Authorized official
INDIA VIANCA OWEN LLMSW (OUTPATIENT CLINICIAN/ CASE MANAGER)
(313) 516-3196
Entity
Organization
Contact information
Practice address
19750 BURT RD, DETROIT, MI 48219-2078
(313) 497-4984
Mailing address
19750 BURT RD, DETROIT, MI 48219-2078
(313) 497-4984
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
02/06/2026
Last updated
02/06/2026
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