Individual
GENICE MAE HARVEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
255 SUMMIT DR, WATERFORD, MI 48328
(248) 706-5041
Mailing address
255 SUMMIT DR, WATERFORD, MI 48328
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6801108169
MI
1041C0700X
Clinical Social Worker
6801098089
MI
Other
Enumeration date
05/04/2016
Last updated
03/14/2025
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