Organization
CAMELA R. AYOUB LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MEGAN MCCLAIN (OFFICE MANAGER)
(248) 249-1520
Entity
Organization
Contact information
Practice address
6887 DIXIE HWY, CLARKSTON, MI 48346-5107
(248) 620-1019
Mailing address
3910 MAIDEN ST, WATERFORD TOWNSHIP, MI 48329-1047
(248) 657-2370
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1700117025
NPI
MI
Enumeration date
10/16/2018
Last updated
10/16/2018
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