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Organization
ELEMENT PSYCHOTHERAPY LLC
Active
Organization
ELEMENT PSYCHOTHERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SANDRA MARIE TYSAR-GILBERT LMSW (CLINICIAN)
(248) 229-4778
Entity
Organization
Contact information
Practice address
27941 HARPER AVENUE, STE 103 MAILBOX#5, ST. CLAIR SHORES, MI 48081-1535
(249) 229-4778
(586) 859-5300
Mailing address
27941 HARPER AVENUE, STE 103 MAILBOX#5, ST. CLAIR SHORES, MI 48081-1535
(249) 229-4778
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
09/16/2019
Last updated
12/14/2020
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