Doctor Name: | MR. JOSEPH JUDE SERAFIN |
NPI Number: | 1073739462 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LMSW |
License Number: | 6801017983 |
Business Practice Address: | 136 W Chicago Blvd Tecumseh, MI - 492861528 |
Business Phone Number: | 5174235348 |
Business Fax Number: | |
Mailing Address: | 115 N Maumee, TECUMSEH |
State: | MI |
Postal Code: | 492861538 |
Phone Number: | 5174235348 |
Fax Number: | |
NPI Enumeration Date: | 04/17/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 6801017983 |
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 |