| Vickie Novell, P.l.l.c. | |
|
3125 Oakshire Ave Berkley MI 48072-3806 | |
| (313) 437-1724 | |
| Not Available |
| Full Name | Vickie Novell, P.l.l.c. |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 3125 Oakshire Ave, Berkley, Michigan |
| Authorized Official Name and Position | Vickie Novell (OWNER) |
| Authorized Official Contact | 3134371724 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Vickie Novell, P.l.l.c. 3125 Oakshire Ave Berkley MI 48072-3806 Ph: (313) 437-1724 | Vickie Novell, P.l.l.c. 3125 Oakshire Ave Berkley MI 48072-3806 Ph: (313) 437-1724 |
| NPI Number | 1073122750 |
|---|---|
| Provider Enumeration Date | 07/28/2020 |
| Last Update Date | 07/28/2020 |
| Certification Date | 07/28/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073122750 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
News Archive
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