Individual
MS. ANITA M CLOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
5301 MCAULEY DR, YPSILANTI, MI 48197-1051
(734) 712-8722
(734) 712-5302
Mailing address
451 WILLIS RD, SALINE, MI 48176-1560
(734) 429-1062
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6801015515
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0800H110339
BC/BS
—
Enumeration date
07/31/2006
Last updated
07/08/2007
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