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Organization
NEW LEAF THERAPY
Active
Organization
NEW LEAF THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER K SHEA LMSW (OWNER)
(313) 652-1510
Entity
Organization
Contact information
Practice address
1938 BURDETTE ST, FERNDALE, MI 48220-1982
(313) 652-1510
(248) 876-9454
Mailing address
1938 BURDETTE ST, FERNDALE, MI 48220-1982
(313) 652-1510
(248) 876-9454
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6801097641
MI
Other
Enumeration date
08/17/2018
Last updated
10/23/2023
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