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Organization

MERIBETH GANDY PEZDA LLC

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Organization

MERIBETH GANDY PEZDA LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. MERIBETH GANDY PEZDA LMSA (LICENSED CLINICAL SOCIAL WORKER)
(734) 757-3103
Entity
Organization

Contact information

Practice address
959 BAKER RD, SUITE 1A, DEXTER, MI 48130-1593
(734) 757-3103
Mailing address
959 BAKER RD, SUITE 1A, DEXTER, MI 48130-1593
(734) 757-3103

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6801070819
MI

Other

Enumeration date
10/26/2016
Last updated
10/26/2016
About Stedi
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  • EDI platform