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Organization
WHOLEHEARTED LIVING LLC
Active
Organization
WHOLEHEARTED LIVING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NEDRA YVONNE CANNON LMSW (OWNER)
(517) 676-9788
Entity
Organization
Contact information
Practice address
913 W HOLMES RD, SUITES 227 A & C, LANSING, MI 48910-0426
(517) 303-4185
Mailing address
PO BOX 10, MASON, MI 48854-0010
(517) 676-9788
(517) 676-3438
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6801086618
MI
Other
Enumeration date
11/04/2013
Last updated
05/01/2014
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