Healthcare Provider Details

I. General information

NPI: 1568385052
Provider Name (Legal Business Name): ANN CSER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/01/2026
Last Update Date: 08/04/2026
Certification Date: 08/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

24500 FORD RD STE 10
DEARBORN HEIGHTS MI
48127-3145
US

IV. Provider business mailing address

22704 OUTER DR
DEARBORN MI
48124-4231
US

V. Phone/Fax

Practice location:
  • Phone: 313-316-0687
  • Fax:
Mailing address:
  • Phone: 313-316-0687
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number6851121851
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: