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NPI Code Detail

MEDICARE: FLORINE BOND LMSW

MEDICARE: FLORINE BOND LMSW
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 Worker6801002337MI

General Provider Information

NPI Number : 1770505075
Entity Type Code : Individual
Provider Name (Legal Business Name) : FLORINE BOND LMSW
Provider Business Mailing Address
First Line : 29606 STEINHAUER ST
Second Line :
City : INKSTER
State : MI
Zip : 48141-3417
Country : US
Telephone Number : 734-729-6921
Fax Number : 734-728-4278
Provider Business Practice Location Address
First Line : 26184 OUTER DR
Second Line :
City : LINCOLN PARK
State : MI
Zip : 48146-2084
Country : US
Telephone Number : 313-389-7500
Fax Number : 313-389-7510
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/24/2006
Last Update Date : 07/08/2007

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Directions to “ FLORINE BOND LMSW” Practice Location

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