Provider Information for 1942684550
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ANTOINETTE VIENCE ALI MSW, LMSW-C
Sex: Female
NPI: 1942684550
Last Updated: 2023-12-06
Certification Date: 2023-12-06
Certification Date: 2023-12-06
Details
| Name | Value | ||||||||||||
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| NPI | 1942684550 | ||||||||||||
| Enumeration Date | 2015-07-13 | ||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||
| Sole Proprietor | NO | ||||||||||||
| Status | Active | ||||||||||||
| Mailing Address | 28421 FRANKLIN RD SOUTHFIELD, MI 48034-5506 United States Phone: 702-355-6922 | Fax: | ||||||||||||
| Primary Practice Address | 1 FORD PL DETROIT, MI 48202-3450 United States Phone: 313-484-5813 | Fax: | ||||||||||||
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