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Organization
INTEGRATIVE PSYCHOTHERAPY SERVICES LLC
Active
Organization
INTEGRATIVE PSYCHOTHERAPY SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAMMY LESNIAK LMSW (LMSW/OWNER)
(586) 623-5095
Entity
Organization
Contact information
Practice address
44444 MOUND RD STE 650, STERLING HEIGHTS, MI 48314-1355
(586) 623-5095
(734) 207-5326
Mailing address
44444 MOUND RD STE 650, STERLING HEIGHTS, MI 48314-1355
(586) 623-5095
(734) 207-5326
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1487026902
—
MI
Enumeration date
04/08/2019
Last updated
04/08/2019
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