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Individual

AJAI TICE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
29425 NORTHWESTERN HWY, SOUTHFIELD, MI 48034-1080
(248) 327-7409
Mailing address
29425 NORTHWESTERN HWY, SOUTHFIELD, MI 48034-1080
(248) 327-7409
(248) 327-7623

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
6801098734
MI
1041C0700X
Clinical Social Worker
Primary
6801114708
MI

Other

Enumeration date
02/01/2017
Last updated
05/29/2024
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