Agrusa, Nancy

Agrusa, Nancy is an individual health care provider with primary practice located at 63 E Dallas Ave , Madison Hts MI 48071-4005. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Agrusa, Nancy can be contacted via phone (248) 399-4681.

Contact Information

Primary practice address
63 E Dallas Ave Madison Hts MI 48071-4005
Phone: (248) 399-4681
Fax: (313) 893-0064
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X

Profile Details

NPI number 1316102619
LBN Legal business name Agrusa, Nancy
Credentials LMSW
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 25th, 2008
Last updated Jul 25th, 2008 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1316102619 NPPES
Michigan MEDICAID 2473434

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