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Laura Jean Protic
Peer Specialist in Madison Heights, Michigan
NPI 1124750450

Laura Jean Protic is a Peer Specialist based in Waterford, MI. Laura Jean Protic practices in Madison Heights, MI. The NPI Number for Laura Jean Protic is 1124750450 and holds a License No. (Michigan).

The current practice location address for Laura Jean Protic is 28303 Dequindre Rd, Madison Heights, MI and can be reached out via phone at 810-392-2167.

Location: 28303 Dequindre Rd, Madison Heights, MI, 48328-4029
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1124750450
Provider Name
Laura Jean Protic
Credential
Provider Entity Type
Individual
Gender
Female
Address
28303 Dequindre Rd, Madison Heights, MI, 48328-4029
Phone Number
810-392-2167
Fax Number
Provider Enumeration Date
06/27/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
28303 Dequindre Rd
City
Madison Heights
State
Michigan
Zip
48071-3040
Phone Number
810-392-2167
Fax Number
person
Provider Business Mailing Address Details
Address
28303 Dequindre Rd
City
Madison Heights
State
Michigan
Zip
48071-3040
Phone Number
810-392-2167
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
()
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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