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Organization
MICHIGAN BEHAVIORAL WELLNESS LLC
Active
Organization
MICHIGAN BEHAVIORAL WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SANYANI EDWARDS PSY.,S. (CEO)
(248) 677-1564
Entity
Organization
Contact information
Practice address
1386 E JEFFERSON AVE, DETROIT, MI 48207-3104
(313) 908-0172
Mailing address
28157 DEQUINDRE RD STE 202, MADISON HEIGHTS, MI 48071-3046
(248) 677-1564
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
02/16/2011
Last updated
04/18/2011
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