Individual
AGUSTIN KEITH ARBULU III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
29207 TESSMER CT, MADISON HEIGHTS, MI 48071-2619
(248) 953-1615
Mailing address
29207 TESSMER CT, MADISON HEIGHTS, MI 48071-2619
(248) 953-1615
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6801106648
MI
Other
Enumeration date
08/10/2020
Last updated
08/10/2020
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