MR. Willie Roman III

NPI #1366719445 in Lincoln Park, Michigan

Provider Information

NPI Number: 1366719445
Entity Type: Individual
Name: MR. Willie Roman III
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker
Enumeration Date: Nov 17, 2011
Last Updated: Nov 17, 2011

Practice Location

Address: 26184 OUTER DR
City: Lincoln Park
State: Michigan
ZIP Code: 48146-2084
Phone: (313) 389-7594

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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