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NPI Code Detail

MEDICARE: ALISA R. BAYER M.S.W

MEDICARE:   ALISA R. BAYER  M.S.W
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 Worker

General Provider Information

NPI Number : 1922027531
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALISA R. BAYER M.S.W
Provider Business Mailing Address
First Line : 5745 W MAPLE RD
Second Line : SUITE 215
City : WEST BLOOMFIELD
State : MI
Zip : 48322-4468
Country : US
Telephone Number : 248-932-2520
Fax Number : 248-932-2516
Provider Business Practice Location Address
First Line : 5745 W MAPLE RD
Second Line : SUITE 215
City : WEST BLOOMFIELD
State : MI
Zip : 48322-4468
Country : US
Telephone Number : 248-932-2520
Fax Number : 248-932-2516
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/18/2006
Last Update Date : 07/08/2007

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