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Organization
RESILIENT LIFE THERAPEUTIC SERVICES LLC
Active
Organization
RESILIENT LIFE THERAPEUTIC SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACQUELINE MARIA BEAVERS LMSW (SOLE OWNER)
(248) 943-1814
Entity
Organization
Contact information
Practice address
89 E EDSEL FORD FWY STE 200, DETROIT, MI 48202-3742
(248) 943-1814
Mailing address
19300 APPOLINE ST, DETROIT, MI 48235-1215
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
07/07/2021
Last updated
11/08/2021
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