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Organization
RENAOWEN COUNSELING LLC
Active
Organization
RENAOWEN COUNSELING LLC
Active
Other names
Katelyn M Maddock
Organization subpart
No
Provider details
NPI number
Authorized official
CATHY GALLEGOS (CREDENTIALING MANAGER)
(517) 483-2461
Entity
Organization
Contact information
Practice address
48130 ROYAL POINTE DR, CANTON, MI 48187-5466
(734) 664-3345
(517) 323-9531
Mailing address
48130 ROYAL POINTE DR, CANTON, MI 48187-5466
(734) 207-5065
(517) 323-9531
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
08/26/2020
Last updated
02/17/2022
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