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Organization
MIDWEST JOURNEYS LLC
Active
Organization
MIDWEST JOURNEYS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ROXANNA DUNTLEY-MATOS LMSW (PROGRAM AND CLINICAL DIRECTOR)
(734) 474-0792
Entity
Organization
Contact information
Practice address
2142A WASHTENAW RD, YPSILANTI, MI 48197-1708
(734) 829-0075
Mailing address
PO BOX 3193, ANN ARBOR, MI 48106-3193
(734) 829-0075
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6801078742
MI
Other
Enumeration date
06/11/2007
Last updated
10/11/2007
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