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Individual

DONNA SPICUZZI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSW

Contact information

Practice address
12900 HALL RD STE 200, STERLING HEIGHTS, MI 48313-1150
(800) 451-0481
Mailing address
21050 YOUNG DR, MACOMB, MI 48044-1376
(586) 747-5434

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
6801046715
MICHIGAN DEPT OF LICENSING AND REGULATORY AFFAIRS
MI
Enumeration date
12/11/2018
Last updated
12/11/2018
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