Healthcare Provider Details

I. General information

NPI: 1326454018
Provider Name (Legal Business Name): JULIANNA MARIE YONO LLMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/02/2014
Last Update Date: 07/02/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

26400 LAHSER RD SUITE 220
SOUTHFIELD MI
48033
US

IV. Provider business mailing address

26400 LAHSER RD SUITE 220
SOUTHFIELD MI
48033
US

V. Phone/Fax

Practice location:
  • Phone: 248-354-8460
  • Fax: 248-354-4979
Mailing address:
  • Phone: 248-354-8460
  • Fax: 248-354-4979

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: