Funderburg Clinical and Community Services
NPI #1225254279 in Southfield, Michigan
Provider Information
- NPI Number
- 1225254279
- Entity Type
- Organization
- Organization Name
- Funderburg Clinical and Community Services
- Primary Specialty
- Social Worker - Clinical
- Enumeration Date
- Apr 18, 2007
- Last Updated
- Sep 11, 2009
Practice Location
- Address
- 25438 SAINT JAMES
- City
- Southfield
- State
- Michigan
- ZIP Code
- 48075-1247
- Phone
- (248) 809-9105
Authorized Official
- Name
- MR. GERALD RODERICK FUNDERBURG JR., LLMSW M.S.W
- Title
- OWNER
- Phone
- (248) 809-9105
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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