Most Relevant Information
Provider Data
| NPI Number: | 1003247560 |
| Provider Name: | PATRICE HORNBUCKLE LLMSW |
| Entity Type: | Individual |
| Taxonomy Code: | 104100000X |
| Specialty: | Social Worker |
| License Number: | 6801091400 |
Most Important Dates
| Enumeration Date: | 12/10/2013 |
| Last Updated: | 05/10/2018 |
Provider Practice Location
575 S MAIN ST
PLYMOUTH
MI
481701778
Practice Location Phone/Fax
| Phone: | 7344517800 |
| Fax: |
Provider Mailing Location
575 S MAIN ST
PLYMOUTH
MI
481701778
Provider Mailing Phone/Fax
| Phone: | 7344517800 |
| Fax: |