Individual
MR. ROBERT WARMACK III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
24293 TELEGRAPH RD, SUITE 218, SOUTHFIELD, MI 48033-3011
(313) 444-7992
Mailing address
PO BOX 2312, DETROIT, MI 48202-0312
(313) 444-7992
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401010514
MI
101YS0200X
School Counselor
SC0000692
MI
225C00000X
Rehabilitation Counselor
00101760
—
Other
Enumeration date
04/27/2015
Last updated
05/07/2016
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