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Organization
MENTAL MIX THERAPY PLLC
Active
Organization
MENTAL MIX THERAPY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HAYLEY RENEE MINGER-MARLOW LMSW (PSYCHOTHERAPIST)
(313) 380-0179
Entity
Organization
Contact information
Practice address
20013 BLACKBURN ST, SAINT CLAIR SHORES, MI 48080-1051
(313) 380-0179
Mailing address
21366 HALL RD UNIT 4092, CLINTON TOWNSHIP, MI 48038-1539
(313) 380-0179
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
11/03/2025
Last updated
11/03/2025
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