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Organization
PRODIGAL JOURNEY, LLC
Active
Organization
PRODIGAL JOURNEY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TODD LOSIE MATL, MS, LMSW-C (CEO)
(248) 956-1157
Entity
Organization
Contact information
Practice address
33234 KINGSLANE CT APT 7, FARMINGTON, MI 48336-4054
(313) 702-3136
Mailing address
33234 KINGSLANE CT APT 7, FARMINGTON, MI 48336-4054
(313) 702-3136
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
01/13/2023
Last updated
01/15/2023
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