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Provider Information for 1275927980


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THERESE MUIR LLMSW


Sex: Female

NPI: 1275927980
Last Updated: 2015-04-02
Certification Date:

Details

NameValue
NPI1275927980
Enumeration Date2015-03-20
NPI TypeNPI-1 Individual
Sole ProprietorNO
StatusActive
Mailing Address 34556 BUNKER HILL DR
FARMINGTON HILLS, MI 48331-3225
United States

Phone: 248-579-0856 | Fax:248-489-1940
 
Primary Practice Address 34556 BUNKER HILL DR
FARMINGTON HILLS, MI 48331-3225
United States

Phone: 248-579-0856 | Fax:248-489-1940
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
Yes 1041C0700X - Social Worker - ClinicalMI6801097223