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Organization
WOW THERAPY
Active
Organization
WOW THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YUVONE MARIE ROGERS LLPC (OWNER)
(810) 300-6614
Entity
Organization
Contact information
Practice address
805 SUPERIOR ST STE A, PORT HURON, MI 48060-3771
(810) 300-6614
Mailing address
4043 VIOLET AVE, SAINT CLAIR, MI 48079-3532
(810) 300-6614
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6401016563
MI
Other
Enumeration date
05/10/2018
Last updated
05/10/2018
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