Organization
BLUE PEARL WELLNESS, PLLC
Active
Other names
Manjula Egan, LMSW
Organization subpart
No
Provider details
NPI number
Authorized official
MANJULA KAZA-EGAN LMSW (PRACTITIONER)
(248) 200-6061
Entity
Organization
Contact information
Practice address
17344 W 12 MILE RD STE 205, SOUTHFIELD, MI 48076-6321
(248) 990-2722
Mailing address
13116 BALFOUR AVE, HUNTINGTON WOODS, MI 48070-1701
(248) 200-6061
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
07/25/2019
Last updated
07/25/2019
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