Senior Activity Generational Exchange LLC

NPI #1669879219 in Redford, Michigan

Provider Information

NPI Number: 1669879219
Entity Type: Organization
Organization Name: Senior Activity Generational Exchange LLC
Primary Specialty: Social Worker - Clinical
Enumeration Date: Nov 25, 2014
Last Updated: Mar 11, 2015

Practice Location

Address: 17715 BRADY
City: Redford
State: Michigan
ZIP Code: 48240-2117
Phone: (888) 473-2408

Authorized Official

Name: MS. DAISY ALDRIDGE
Title: OWNER
Phone: (888) 473-2408

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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