Organization
ADULT & FAMILY SERVICES
Active
Organization
ADULT & FAMILY SERVICES
Active
Other names
The Guidance Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK SMALL MSW (SUPERVISOR)
(734) 287-1500
Entity
Organization
Contact information
Practice address
19291 NORTHLINE RD, SOUTHGATE, MI 48195-2220
(734) 287-1500
Mailing address
19291 NORTHLINE RD, SOUTHGATE, MI 48195-2220
(734) 287-1500
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6801060222
MI
Other
Enumeration date
01/16/2007
Last updated
06/16/2008
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