Individual
JAMES WALTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LBSW
Contact information
Practice address
1001 S RAISINVILLE RD, MONROE, MI 48161-9754
(734) 384-8431
Mailing address
14933 NOBIL AVE, MONROE, MI 48161-3638
(734) 384-8431
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6802074188
MI
Other
Enumeration date
04/11/2013
Last updated
04/11/2013
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