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Organization
WOUNDED HEART FOUNDATION
Active
Organization
WOUNDED HEART FOUNDATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY LYNN CALDWELL (PRESIDENT)
(734) 552-9806
Entity
Organization
Contact information
Practice address
25770 E HURON RIVER DR, FLAT ROCK, MI 48134-1215
(734) 777-3315
Mailing address
25770 E HURON RIVER DR, FLAT ROCK, MI 48134-1215
(734) 777-3315
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401011036
MI
Other
Enumeration date
09/07/2016
Last updated
09/07/2016
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