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Organization
HOBERMAN CLINIC
Active
Organization
HOBERMAN CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MELVIN HOBERMAN MA, LLP, LCSW, CAAC (OWNER)
(313) 277-1166
Entity
Organization
Contact information
Practice address
1800 GRINDLEY PARK ST, SUITE 3, DEARBORN, MI 48124-2553
(313) 277-1166
(313) 277-3414
Mailing address
1800 GRINDLEY PARK ST, SUITE 3, DEARBORN, MI 48124-2553
(313) 277-1166
(313) 277-3414
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
6301002903
MI
1041C0700X
Clinical Social Worker
Primary
6301002903
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0007263796
AETNA
MI
01
—
0897467
BCBS/BCN
MI
01
—
195511
VALUE OPTIONS
MI
Enumeration date
01/26/2012
Last updated
01/26/2012
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