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Organization
YOUR PATH THERAPY GROUP, PLLC
Active
Organization
YOUR PATH THERAPY GROUP, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GAGE L PEAVLER LMSW (PRESIDENT)
(586) 770-1202
Entity
Organization
Contact information
Practice address
44444 HAYES RD, CLINTON TOWNSHIP, MI 48038-7600
(586) 210-6682
Mailing address
17693 MAISONS DR, CLINTON TOWNSHIP, MI 48038-3802
(586) 322-5905
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
03/13/2024
Last updated
03/13/2024
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