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NPI Code Detail

MEDICARE: MICHELLE K YORK LMSW

MEDICARE: MICHELLE K YORK 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
11041C0700XClinical Social Worker6801098255MI

General Provider Information

NPI Number : 1942962410
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHELLE K YORK LMSW
Provider Business Mailing Address
First Line : 45595 TIMBERLANE CT APT 202
Second Line :
City : NOVI
State : MI
Zip : 48377-1142
Country : US
Telephone Number : 248-207-8219
Fax Number :
Provider Business Practice Location Address
First Line : 3111 GRAND RIVER AVE
Second Line :
City : DETROIT
State : MI
Zip : 48208-2962
Country : US
Telephone Number : 313-577-8610
Fax Number : 313-456-9601
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/12/2021
Last Update Date : 10/12/2021

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Directions to “ MICHELLE K YORK LMSW” Practice Location

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