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NPI Code Detail

MEDICARE: MR. ANTHONY JOSEPH GIUFFRE JR. LMSW, ICAADC

MEDICARE: MR. ANTHONY JOSEPH GIUFFRE JR. LMSW, ICAADC
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
1101YA0400XAddiction (Substance Use Disorder) CounselorCAC#1-00218MI
2104100000XSocial Worker#076486MI

General Provider Information

NPI Number : 1194827188
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. ANTHONY JOSEPH GIUFFRE JR. LMSW, ICAADC
Provider Business Mailing Address
First Line : 35425 W MICHIGAN AVE
Second Line :
City : WAYNE
State : MI
Zip : 48184-9800
Country : US
Telephone Number : 734-467-7600
Fax Number : 734-722-6999
Provider Business Practice Location Address
First Line : 35425 W MICHIGAN AVE
Second Line :
City : WAYNE
State : MI
Zip : 48184-9800
Country : US
Telephone Number : 734-467-7600
Fax Number : 734-722-6999
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/01/2006
Last Update Date : 06/02/2015

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