Individual
MRS. HEIDI ELISABETH GROGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
14500 N SHELDON RD # 160A, PLYMOUTH, MI 48170-2597
(734) 656-0130
(734) 656-9845
Mailing address
1400 E 12 MILE RD, MADISON HEIGHTS, MI 48071-2651
(734) 656-0130
(734) 656-9845
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6801091158
MASTER'S SOCIAL WORKER CLINICAL LICENSE
MI
Enumeration date
09/17/2008
Last updated
08/06/2019
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