Doctor Name: | MR. JOHN M. HRIBLJAN |
NPI Number: | 1073849170 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.S.W. |
License Number: | 6801003248 |
Business Practice Address: | 22811 Greater Mack Ave Suite 107 Saint Clair Shores, MI - 480802021 |
Business Phone Number: | 5867752511 |
Business Fax Number: | 5867759922 |
Mailing Address: | 22811 Greater Mack Ave, Suite 107 SAINT CLAIR SHORES |
State: | MI |
Postal Code: | 480802021 |
Phone Number: | 5867752511 |
Fax Number: | 5867759922 |
NPI Enumeration Date: | 10/23/2009 |
NPI Last Update Date: | 10/23/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 6801003248 |
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 |