Provider Demographics
NPI:1285302075
Name:OZOR COMMER, CHIDIMMA (LMSW, MSW, MA)
Entity type:Individual
Prefix:
First Name:CHIDIMMA
Middle Name:
Last Name:OZOR COMMER
Suffix:
Gender:F
Credentials:LMSW, MSW, MA
Other - Prefix:
Other - First Name:CHIDIMMA
Other - Middle Name:NNEOMA
Other - Last Name:OZOR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LLMSW, MSW, MA
Mailing Address - Street 1:3675 GREENOOK BLVD
Mailing Address - Street 2:
Mailing Address - City:ANN ARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48103-9089
Mailing Address - Country:US
Mailing Address - Phone:808-518-6178
Mailing Address - Fax:
Practice Address - Street 1:3675 GREENOOK BLVD
Practice Address - Street 2:
Practice Address - City:ANN ARBOR
Practice Address - State:MI
Practice Address - Zip Code:48103-9089
Practice Address - Country:US
Practice Address - Phone:808-518-6178
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-09-06
Last Update Date:2024-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI68011176881041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical