Doctor Name: | JULIE DUPREY |
NPI Number: | 1003842774 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LMSW |
License Number: | 6801019777 |
Business Practice Address: | 43450 W 10 Mile Rd Novi, MI - 483753172 |
Business Phone Number: | 2483447420 |
Business Fax Number: | 2483447423 |
Mailing Address: | 43450 W 10 Mile Rd, NOVI |
State: | MI |
Postal Code: | 483753172 |
Phone Number: | 2483447420 |
Fax Number: | 2483447423 |
NPI Enumeration Date: | 06/24/2006 |
NPI Last Update Date: | 08/21/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 6801019777 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |