Organization
INDEPENDENT EVALUATION SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LEIGH MARIE LIBERATORE B.S.W. (CLINIC MANAGER)
(248) 971-2180
Entity
Organization
Contact information
Practice address
30555 SOUTHFIELD RD., 250, SOUTHFIELD, MI 48076
(248) 971-2180
Mailing address
30555 SOUTHFIELD RD., 250, SOUTHFIELD, MI 48076
(248) 971-2180
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
171W00000X
MI
Other
Enumeration date
12/15/2010
Last updated
12/15/2010
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