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Organization

JUDITH K MOON LMSW ACSW LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JUDITH MOON (OWNER)
(586) 421-5164
Entity
Organization

Contact information

Practice address
37399 GARFIELD RD STE 200, CLINTON TWP, MI 48036-3672
(586) 421-5164
(586) 421-5179
Mailing address
37399 GARFIELD RD STE 200, CLINTON TWP, MI 48036-3672
(586) 421-5164
(586) 421-5179

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
6801012981
MI

Other

Enumeration date
02/09/2017
Last updated
02/09/2017
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