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NPI Code Detail

MEDICARE: DORE' GENIS SILVEY LCSW

MEDICARE: DORE' GENIS SILVEY LCSW
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
1104100000XSocial Worker

General Provider Information

NPI Number : 1801927405
Entity Type Code : Individual
Provider Name (Legal Business Name) : DORE' GENIS SILVEY LCSW
Provider Business Mailing Address
First Line : PO BOX 574
Second Line : RIVERWOOD CENTER
City : BENTON HARBOR
State : MI
Zip : 49023-0547
Country : US
Telephone Number : 269-925-0585
Fax Number : 574-283-1131
Provider Business Practice Location Address
First Line : 1485 M 139
Second Line : RIVERWOOD CENTER
City : BENTON HARBOR
State : MI
Zip : 49022-5711
Country : US
Telephone Number : 269-925-0585
Fax Number : 574-283-1131
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/08/2007
Last Update Date : 11/24/2020

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Directions to “ DORE' GENIS SILVEY LCSW” Practice Location

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