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Individual

GEORGE M MARIUTZA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LLMSW CADCM

Contact information

Practice address
171 DAWSON ST, SANDUSKY, MI 48471-1062
(810) 648-4098
Mailing address
10 PETERBORO ST, DETROIT, MI 48201-2722
(313) 833-4627

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
1-04857
MI
104100000X
Social Worker
Primary
L1916956
MI

Other

Enumeration date
09/19/2008
Last updated
07/01/2011
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