Individual
DEBORAH HELENE GOTTLIEB-PORLICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW, CAC
Contact information
Practice address
766 W GRAND RIVER AVE, BRIGHTON, MI 48116-2392
(810) 229-1630
Mailing address
766 W GRAND RIVER AVE, BRIGHTON, MI 48116-2392
(810) 229-1630
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
1900
FL
1041C0700X
Clinical Social Worker
Primary
6801066201
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8008978790
BCBSM PIN NO.
MI
Enumeration date
02/08/2007
Last updated
07/08/2007
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