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Organization
EASTSIDE COUNSELING AND CONSULTING, INC.
Active
Organization
EASTSIDE COUNSELING AND CONSULTING, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RANDALL FIELDER VORHEES MSW (SOCIAL WORKER)
(313) 516-3998
Entity
Organization
Contact information
Practice address
209 MERRIWEATHER RD, GROSSE POINTE FARMS, MI 48236-3533
(313) 516-3998
Mailing address
209 MERRIWEATHER RD, GROSSE POINTE FARMS, MI 48236-3533
(313) 516-3998
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6801015769
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0892961
BCBSM
MI
Enumeration date
05/06/2008
Last updated
10/05/2008
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