Individual ProviderMariel MartinSocial WorkerBehavioral Health & Social Service ProvidersPractice Address24463 W 10 Mile Rd, Southfield, MI 48033-2931(248) 320-4652PECOS EnrollmentBased on the most recent information from CMS, provider Mariel Martin does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 11:21 AM.Profile DetailsProvider ID1679143465Provider TypeIndividualFull NameMartin, MarielGenderFemaleSole ProprietorNoEnumeration Date6/25/2021Last Updated6/25/2021Contact InformationPractice LocationPractice Address24463 W 10 Mile Rd, Southfield, MI 48033-2931Phone(248) 320-4652FaxUnlisted FaxMailing LocationMailing Address21700 Northwestern Hwy, Southfield, MI 48075-4906Phone(248) 320-4652FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicenseUnlisted IssuerMichigan