Individual
ALLEN RUSSELL ADAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSW
Contact information
Practice address
17352 W 12 MILE RD, SUITE 100, SOUTHFIELD, MI 48076-2119
(248) 559-0730
(248) 569-7626
Mailing address
18876 SAINT AUBIN ST, DETROIT, MI 48234-1221
(313) 402-7779
(248) 569-7626
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6801088547
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6801088547
STATE OF MICHIGAN
MI
Enumeration date
05/30/2008
Last updated
05/30/2008
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