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Organization
STORY ROAD THERAPY
Active
Organization
STORY ROAD THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARQUITTA FIELDS LMFT (OWNER)
(248) 221-2718
Entity
Organization
Contact information
Practice address
29551 GREENFIELD RD STE 212, SOUTHFIELD, MI 48076-5872
(248) 221-2718
Mailing address
29551 GREENFIELD RD STE 212, SOUTHFIELD, MI 48076-5872
(248) 221-2718
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
NULL
106H00000X
Marriage & Family Therapist
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
NULL
Other
Enumeration date
08/22/2023
Last updated
08/22/2023
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