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NPI Code Detail

MEDICARE: EKATERINA PAULETTE CZARNIK LLMSW

MEDICARE: EKATERINA PAULETTE CZARNIK LLMSW
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
11041C0700XClinical Social Worker6801119921MI

General Provider Information

NPI Number : 1770101453
Entity Type Code : Individual
Provider Name (Legal Business Name) : EKATERINA PAULETTE CZARNIK LLMSW
Provider Business Mailing Address
First Line : 632 N MILL ST
Second Line :
City : PLYMOUTH
State : MI
Zip : 48170-1422
Country : US
Telephone Number : 248-206-0486
Fax Number :
Provider Business Practice Location Address
First Line : 632 N MILL ST
Second Line :
City : PLYMOUTH
State : MI
Zip : 48170-1422
Country : US
Telephone Number : 248-206-0486
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/09/2020
Last Update Date : 03/12/2025

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Directions to “ EKATERINA PAULETTE CZARNIK LLMSW” Practice Location

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