Individual
MR. CLYDE FRANCIS PIDGEON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
4646 JOHN R ST, DETROIT, MI 48201-1916
(313) 576-1000
(313) 576-1025
Mailing address
43707 CHERRYWOOD LN, CANTON, MI 48188-5298
(734) 981-1783
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6801087835
MI
Other
Enumeration date
08/10/2006
Last updated
07/08/2007
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