Organization
GOD'S PRECIOUS TREASURES II
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PATRICIA LYNN MAZYCK-SIMMONS LLMSW (SOCIAL WORKER)
(734) 787-8536
Entity
Organization
Contact information
Practice address
22805 GODDARD RD, TAYLOR, MI 48180-4170
(734) 787-8536
Mailing address
22805 GODDARD RD, TAYLOR, MI 48180-4170
(734) 787-8536
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
—
—
Other
Enumeration date
07/08/2016
Last updated
12/07/2016
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