Doug Derdowski, Lmsw Llc | |
4660 Marsh Rd Okemos MI 48864-2143 | |
(517) 525-3405 | |
Not Available |
Full Name | Doug Derdowski, Lmsw Llc |
---|---|
Speciality | Social Worker - Clinical |
Location | 4660 Marsh Rd, Okemos, Michigan |
Authorized Official Name and Position | Doug Derdowski (SOCIAL WORKER) |
Authorized Official Contact | 5175253405 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Doug Derdowski, Lmsw Llc 4660 Marsh Rd Okemos MI 48864-2143 Ph: (517) 525-3405 | Doug Derdowski, Lmsw Llc 4660 Marsh Rd Okemos MI 48864-2143 Ph: (517) 525-3405 |
NPI Number | 1962121913 |
---|---|
Provider Enumeration Date | 08/23/2022 |
Last Update Date | 08/23/2022 |
Certification Date | 08/23/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1962121913 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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