Provider Demographics
NPI:1235911090
Name:JOZEFOWICZ, DEBRA MARGUERITE (LLMSW PHD)
Entity Type:Individual
Prefix:
First Name:DEBRA
Middle Name:MARGUERITE
Last Name:JOZEFOWICZ
Suffix:
Gender:F
Credentials:LLMSW PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:45500 VAN DYKE AVE
Mailing Address - Street 2:
Mailing Address - City:UTICA
Mailing Address - State:MI
Mailing Address - Zip Code:48317-5678
Mailing Address - Country:US
Mailing Address - Phone:586-567-7462
Mailing Address - Fax:
Practice Address - Street 1:45500 VAN DYKE AVE
Practice Address - Street 2:
Practice Address - City:UTICA
Practice Address - State:MI
Practice Address - Zip Code:48317-5678
Practice Address - Country:US
Practice Address - Phone:586-280-8280
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-10-17
Last Update Date:2023-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI68511174721041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical