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Organization
LIFEBRANCH THERAPY
Active
Organization
LIFEBRANCH THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHASTIDY MILLER LMSW (LICENSED SOCIAL WORKER)
(248) 875-1755
Entity
Organization
Contact information
Practice address
5386 SEA VW APT 12, WATERFORD, MI 48327-3172
(248) 875-1755
Mailing address
5386 SEA VW APT 12, WATERFORD, MI 48327-3172
(248) 875-1755
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
04/16/2024
Last updated
04/16/2024
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