Provider Demographics
NPI:1114604139
Name:FLETCHER-RAMIREZ, VALENTINA (LMSW)
Entity Type:Individual
Prefix:
First Name:VALENTINA
Middle Name:
Last Name:FLETCHER-RAMIREZ
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:VALENTINA
Other - Middle Name:
Other - Last Name:WILSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMSW
Mailing Address - Street 1:15759 WORMER
Mailing Address - Street 2:
Mailing Address - City:REDFORD
Mailing Address - State:MI
Mailing Address - Zip Code:48239-3544
Mailing Address - Country:US
Mailing Address - Phone:313-289-0069
Mailing Address - Fax:
Practice Address - Street 1:15759 WORMER
Practice Address - Street 2:
Practice Address - City:REDFORD
Practice Address - State:MI
Practice Address - Zip Code:48239-3544
Practice Address - Country:US
Practice Address - Phone:313-289-0069
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-06-30
Last Update Date:2023-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI68010787131041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical