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Organization
FOUNDATION THOUGHTS
Active
Organization
FOUNDATION THOUGHTS
Active
Other names
foundation thoughts
Organization subpart
No
Provider details
NPI number
Authorized official
SHIBA NIXON (PROVIDER)
(313) 550-9605
Entity
Organization
Contact information
Practice address
29781 SPRING HILL DR, SOUTHFIELD, MI 48076-1859
(248) 252-0531
Mailing address
19785 W 12 MILE RD # 644, SOUTHFIELD, MI 48076-2584
(248) 252-0531
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
07/30/2021
Last updated
11/24/2021
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