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Organization
ULTIMATE LIFE TELETHERAPY PLLC
Active
Organization
ULTIMATE LIFE TELETHERAPY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA BERNER MSW (OWNER)
(248) 563-7226
Entity
Organization
Contact information
Practice address
6842 CORRIGAN DR, BRIGHTON, MI 48116-8852
(248) 563-7226
(248) 569-9410
Mailing address
6842 CORRIGAN DR, BRIGHTON, MI 48116-8852
(248) 563-7226
(248) 569-9410
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
08/23/2020
Last updated
08/23/2020
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