Individual
CHRISTA RAICEVICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LLMSW
Contact information
Practice address
40500 ANN ARBOR RD E STE 200A, PLYMOUTH, MI 48170-4498
(734) 408-1149
Mailing address
40500 ANN ARBOR RD E STE 200A, PLYMOUTH, MI 48170-4498
(734) 666-5094
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6851110193
MI
Other
Enumeration date
04/26/2023
Last updated
04/26/2023
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