MEDICARE: ENJOLI MONIQUE HARRINGTON 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
1	104100000X	Social Worker	6801098719	MI
2	1041C0700X	Clinical Social Worker	6801098719	MI

General Provider Information

NPI Number	:	1740526318
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ENJOLI MONIQUE HARRINGTON LMSW

Provider Business Mailing Address
First Line	:	41800 HAYES RD
Second Line	:
City	:	CLINTON TWP
State	:	MI
Zip	:	48038-1876
Country	:	US
Telephone Number	:	313-718-2435
Fax Number	:

Provider Business Practice Location Address
First Line	:	41800 HAYES RD
Second Line	:
City	:	CLINTON TWP
State	:	MI
Zip	:	48038-1876
Country	:	US
Telephone Number	:	313-718-2435
Fax Number	:	888-910-9922

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/29/2012
Last Update Date	:	03/14/2023

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