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NPI Code Detail

MEDICARE: MS. MONIQUE FINNISTER LMSW,CAAC

MEDICARE:  MS. MONIQUE  FINNISTER  LMSW,CAAC
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 Worker6801070839MI
2101YA0400XAddiction (Substance Use Disorder) CounselorC-00506MI

General Provider Information

NPI Number : 1336279777
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. MONIQUE FINNISTER LMSW,CAAC
Provider Business Mailing Address
First Line : 20651 W WARREN ST
Second Line :
City : DEARBORN HEIGHTS
State : MI
Zip : 48127-2622
Country : US
Telephone Number : 313-271-3050
Fax Number : 313-336-3798
Provider Business Practice Location Address
First Line : 20651 W WARREN ST
Second Line :
City : DEARBORN HEIGHTS
State : MI
Zip : 48127-2622
Country : US
Telephone Number : 313-271-3050
Fax Number : 313-336-3798
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/06/2007
Last Update Date : 04/07/2008

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Directions to “ MS. MONIQUE FINNISTER LMSW,CAAC” Practice Location

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