Phillip Dujuan Moses | West Bloomfield, MI • PECOS Search

Phillip Dujuan Moses

Social Worker

Behavioral Health & Social Service Providers

5640 W Maple Rd, West Bloomfield, MI 48322-3716

PECOS Enrollment

Based on the most recent information from CMS, provider Phillip Dujuan Moses does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 11:21 AM.

Profile Details

Provider ID
1083248249
Provider Type
Individual
Full Name
Moses, Phillip Dujuan
Credential
LLMSW

Gender
Male
Sole Proprietor
Yes
Enumeration Date
2/26/2020
Last Updated
2/26/2020

Contact Information

Practice Location

5640 W Maple Rd, West Bloomfield, MI 48322-3716

Unlisted Fax

Mailing Location

516 E 12 Mile Rd, Royal Oak, MI 48073-4123

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 104100000X Primary	Description Social Worker Behavioral Health & Social Service Providers	License 6801105217 Michigan