Individual
MS. PATRICIA DZIECIOLOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW,CSW
Contact information
Practice address
445 LEDYARD ST, DETROIT, MI 48201-2641
(313) 962-9446
(313) 962-6395
Mailing address
31560 REGAL DR, WARREN, MI 48088-2905
(586) 293-2948
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
L1089826
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6801075387
PERMANENT ID # OF LICENSE
MI
Enumeration date
04/13/2007
Last updated
07/08/2007
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