Mr. Randy Sidebottom, MICHIGANSOCIALWORK
Mr. Randy Sidebottom, MICHIGANSOCIALWORK is a Social Worker in Southgate, Michigan. Licensed in Michigan. Registered with an NPI since 2015.
- Licensed in
- MI
- In the registry since
- 2015
Practice location Address checks out
15431 Dix Toledo RdSouthgate, MI 48195-2662
Phone: (734) 552-6860
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Social Worker (primary) | Taxonomy 104100000X · Licence 6802076484 (MI) |
|---|
Record details
| NPI number | 1811385446 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MICHIGANSOCIALWORK |
| Sole proprietor | No |
| NPI enumerated | January 6, 2015 |
| Last updated in NPPES | January 6, 2015 |
| Mailing address | 15431 Dix Toledo Rd, Southgate, MI 48195-2662 |
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