Gorivodskaya, Izabella
Gorivodskaya, Izabella is an sole proprietor health care provider with primary practice located at 30500 Northwestern Hwy 316, Farmington Hills MI 48334-3178. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Gorivodskaya, Izabella can be contacted via phone (248) 875-3661.Contact Information
Primary practice address
30500 Northwestern Hwy 316
Farmington Hills MI 48334-3178
Phone: (248) 875-3661
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 6801085997 | Michigan |
Profile Details
| NPI number | 1053457028 |
|---|---|
| LBN Legal business name | Gorivodskaya, Izabella |
| Credentials | LLMSW |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 29th, 2007 |
| Last updated | Jul 8th, 2007 - about 17 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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