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Organization
RADZILOWSKI COUNSELING LLC
Active
Organization
RADZILOWSKI COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY BETH HOUPT (CREDENTIALING)
(517) 676-9788
Entity
Organization
Contact information
Practice address
19641 SILVER SPRING ST, SOUTHFIELD, MI 48076-5060
(313) 405-9717
Mailing address
PO BOX 10, MASON, MI 48854-0010
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
1041C0700X
Clinical Social Worker
6801019864
MI
Other
Enumeration date
08/24/2018
Last updated
06/17/2021
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