Individual
JAMES RAYMOND TUMIDANSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
150 ENTERPRISE DR, VASSAR, MI 48768-9584
(734) 564-4091
Mailing address
150 ENTERPRISE DR, VASSAR, MI 48768-9584
(734) 564-4091
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
200723
MI
101YA0400X
Addiction (Substance Use Disorder) Counselor
S-00055
MI
104100000X
Social Worker
Primary
6802079385
MI
Other
Enumeration date
01/07/2008
Last updated
01/07/2008
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