Provider Demographics
NPI:1891838769
Name:DUTOIT, FRANCIS JOSEPH (MSW)
Entity Type:Individual
Prefix:MR
First Name:FRANCIS
Middle Name:JOSEPH
Last Name:DUTOIT
Suffix:
Gender:M
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:837 SAINT CLAIR ST
Mailing Address - Street 2:
Mailing Address - City:GROSSE POINTE
Mailing Address - State:MI
Mailing Address - Zip Code:48230-1246
Mailing Address - Country:US
Mailing Address - Phone:313-590-1947
Mailing Address - Fax:313-640-6055
Practice Address - Street 1:15200 E JEFFERSON AVE
Practice Address - Street 2:SUITE 105
Practice Address - City:GROSSE POINTE PARK
Practice Address - State:MI
Practice Address - Zip Code:48230-1304
Practice Address - Country:US
Practice Address - Phone:313-590-1947
Practice Address - Fax:313-640-6055
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-14
Last Update Date:2011-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI68010043001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI003Medicare ID - Type Unspecified