Individual
MR. CORTEZ EZEKIEL PITTMAN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LLMSW
Contact information
Practice address
225 N MAIN ST, PLYMOUTH, MI 48170-1238
(248) 567-2625
Mailing address
225 N MAIN ST, PLYMOUTH, MI 48170-1238
(248) 567-2625
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6851115240
MI
Other
Enumeration date
02/22/2021
Last updated
07/18/2024
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