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ILYA DAVIDOVICH, LMSW

LMSW

Clinical Social Worker

NPI: 1790128494IndividualAccepts Medicare

Specialties, Licenses & Credentials

Clinical Social WorkerPrimary

Social Worker — Clinical

Code: 1041C0700X

6801087558(MI)

CMS Specialties

PrimaryCLINICAL SOCIAL WORKER

Education

OTHER

Class of 2004

Contact & Hours

Address
1001 S RAISINVILLE RD
MONROE, MI 48161

Quick Facts

NPI
1790128494
Entity Type
Individual
Gender
Male
Medicare
Accepted
Specialties
1
Locations
1
Years in Practice
22

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