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Individual

MR. ALEXANDER TYTUS SAMUL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LMSW

Contact information

Practice address
1007 MILITARY ST, PORT HURON, MI 48060
(810) 966-2577
(810) 987-2336
Mailing address
28804 31 MILE RD, LENOX, MI 48050
(586) 727-3281

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6801071545
MI

Other

Enumeration date
09/26/2006
Last updated
07/08/2007
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