Provider Information for 1063043289
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MONIQUE GIANNETTI LMSW
Sex: Female
NPI: 1063043289
Last Updated: 2020-01-27
Certification Date: 2020-01-27
Certification Date: 2020-01-27
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1063043289 | ||||||||
| Enumeration Date | 2020-01-27 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 6595 BUCKLAND AVE WEST BLOOMFIELD, MI 48324-2701 United States Phone: 313-806-7523 | Fax: | ||||||||
| Primary Practice Address | 6595 BUCKLAND AVE WEST BLOOMFIELD, MI 48324-2701 United States Phone: 313-806-7523 | Fax: | ||||||||
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