Individual
D ROBERT RACINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSW
Contact information
Practice address
200 W 2ND ST, ROYAL OAK, MI 48068-6800
(248) 546-8646
Mailing address
4034 PEMBERLY CT, ANN ARBOR, MI 48103-6302
(734) 905-1327
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6801011311
MI
Other
Enumeration date
06/13/2007
Last updated
07/08/2007
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