Organization
MARYBARTKOWIAK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY BARTKOWIAKSC LMSW (CLINICAL SOCIAL WORKER)
(810) 623-8324
Entity
Organization
Contact information
Practice address
6216 KEVIN DR, BRIGHTON, MI 48116-1717
(810) 623-8324
Mailing address
6216 KEVIN DR, BRIGHTON, MI 48116-1717
(810) 623-8324
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
6801059955
MI
Other
Enumeration date
04/01/2016
Last updated
04/01/2016
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