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Organization
REBECCA GOLDSMITH LLC
Active
Organization
REBECCA GOLDSMITH LLC
Active
Other names
SOULRISE MENTAL HEALTH
Organization subpart
No
Provider details
NPI number
Authorized official
MARY BETH HOUPT (CREDENTIALING)
(517) 676-9797
Entity
Organization
Contact information
Practice address
2652 SPRING ARBOR RD, JACKSON, MI 49203-3604
(517) 798-6712
Mailing address
PO BOX 10, MASON, MI 48854-0010
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
08/03/2023
Last updated
08/07/2023
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