Organization
DBT CENTER OF MICHIGAN, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KATHLEEN SCANLON LLMSW (PRIVATE CONTRACTOR SOCIAL WORKER)
(734) 620-7983
Entity
Organization
Contact information
Practice address
23975 NOVI RD STE C-101, NOVI, MI 48375-2459
(517) 367-0670
Mailing address
1876 CROSSWICK CT, CANTON, MI 48187-4689
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
104100000X
MI
Other
Enumeration date
08/26/2015
Last updated
08/26/2015
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