Organization
ANTON THERAPY SERVICES, PLC
Active
Organization
ANTON THERAPY SERVICES, PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TIFFANY RENEE ANTON LMSW (CLINICAL SOCIAL WORKER)
(734) 788-8307
Entity
Organization
Contact information
Practice address
120 W MAIN ST STE 202, NORTHVILLE, MI 48167-1584
(734) 788-8307
Mailing address
120 W MAIN ST STE 202, NORTHVILLE, MI 48167-1584
(734) 788-8307
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6801092555
MI
Other
Enumeration date
09/22/2010
Last updated
02/22/2011
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