Basic Information
| Provider Information | |||||||||
| NPI: | 1700927852 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | ROZEK | ||||||||
| FirstName: | JANICE | ||||||||
| MiddleName: | R | ||||||||
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| Credential: | LMSW | ||||||||
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| Mailing Information | |||||||||
| Address1: | 3253 CONGRESS AVE | ||||||||
| Address2: | |||||||||
| City: | SAGINAW | ||||||||
| State: | MI | ||||||||
| PostalCode: | 486023106 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9897934790 | ||||||||
| FaxNumber: | 9897931641 | ||||||||
| Practice Location | |||||||||
| Address1: | 3253 CONGRESS AVE | ||||||||
| Address2: | |||||||||
| City: | SAGINAW | ||||||||
| State: | MI | ||||||||
| PostalCode: | 486023106 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9897934790 | ||||||||
| FaxNumber: | 9897931641 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 02/10/2007 | ||||||||
| LastUpdateDate: | 02/24/2015 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 1041C0700X | 68010164580 | MI | Y | Behavioral Health & Social Service Providers | Social Worker | Clinical |
No ID Information.