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Organization
RISING UP PSYCHOLOGICAL SERVICES PLLC
Active
Organization
RISING UP PSYCHOLOGICAL SERVICES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EMILY ELIZABETH DEPETRO PSYD (CLINICAL PSYCHOLOGIST)
(906) 869-8003
Entity
Organization
Contact information
Practice address
112 W WASHINGTON ST STE D, MARQUETTE, MI 49855-4367
(906) 869-8003
Mailing address
2202 FITCH AVE, MARQUETTE, MI 49855-1704
(906) 869-8003
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
09/07/2022
Last updated
09/07/2022
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