Organization
FRIENDS OF VISION INTERPERSONAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CONSTANCE GWYNN MSW (FOUNDER/DIRECTOR)
(313) 258-2086
Entity
Organization
Contact information
Practice address
17500 NORTHLAND PARK CT, SOUTHFIELD, MI 48075-4324
(248) 757-2098
(248) 757-2098
Mailing address
5390 CAMBOURNE PL, WEST BLOOMFIELD, MI 48322-4101
(313) 258-2086
(248) 757-2098
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
—
—
Other
Enumeration date
09/08/2008
Last updated
09/11/2008
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