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NPI Code Detail

MEDICARE: SEAN MCGRAW LPC

MEDICARE:   SEAN  MCGRAW  LPC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional Counselor6401018586MI

General Provider Information

NPI Number : 1043637960
Entity Type Code : Individual
Provider Name (Legal Business Name) : SEAN MCGRAW LPC
Provider Business Mailing Address
First Line : 15900 W 10 MILE RD STE 211
Second Line :
City : SOUTHFIELD
State : MI
Zip : 48075-2079
Country : US
Telephone Number : 586-648-0811
Fax Number :
Provider Business Practice Location Address
First Line : 17320 W 12 MILE RD
Second Line :
City : SOUTHFIELD
State : MI
Zip : 48076-2100
Country : US
Telephone Number : 586-648-0811
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/28/2014
Last Update Date : 03/21/2023

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Directions to “ SEAN MCGRAW LPC” Practice Location

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