Supportive Care of Michigan LLC

NPI #1659030591 in Iron River, Michigan

Provider Information

NPI Number: 1659030591
Entity Type: Organization
Organization Name: Supportive Care of Michigan LLC
Primary Specialty: Psychologist - Clinical
Enumeration Date: Dec 8, 2021
Last Updated: Dec 8, 2021

Practice Location

Address: 330 LINCOLN AVE
City: Iron River
State: Michigan
ZIP Code: 49935-8452
Phone: (718) 298-2753

Authorized Official

Name: RAPHAEL LICHTSCHEIN
Title: PRESIDENT
Phone: (718) 298-4375

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist - Clinical — Clinical	103TC0700X	Primary

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