Organization
HERON RIDGE ASSOCIATES, PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELLIOTT RICHELSON M.D. (PRESIDENT, SECRETARY, TREASURER)
(904) 605-4986
Entity
Organization
Contact information
Practice address
705 S MAIN ST STE 280, PLYMOUTH, MI 48170-1060
(734) 454-7094
Mailing address
2550 S TELEGRAPH RD STE 250, BLOOMFIELD HILLS, MI 48302-0909
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
12/14/2010
Last updated
12/30/2022
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