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Organization
MYSELFINCLUDED 2
Active
Organization
MYSELFINCLUDED 2
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA BURGESS LMSW (OWNER)
(248) 459-2147
Entity
Organization
Contact information
Practice address
15140 LIVERNOIS AVE, DETROIT, MI 48238-2045
(248) 459-2147
Mailing address
14123 SHAMROCK DR, REDFORD, MI 48239-2995
(248) 459-2147
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
10/24/2023
Last updated
07/29/2026
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