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Individual

RANDY MICHAEL LEBAR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MSW

Contact information

Practice address
13101 ALLEN RD, SOUTHGATE, MI 48195-2216
(734) 785-7700
Mailing address
2632 RIVERSIDE DR, TRENTON, MI 48183-2807

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
6802085943
MI
171M00000X
Case Manager/Care Coordinator
Primary

Other

Enumeration date
11/01/2013
Last updated
12/18/2023
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