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Organization

INTERSECTIONAL INSIGHT, PLLC

Active
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Organization

INTERSECTIONAL INSIGHT, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TINA LOUISE LMSW (OWNER/MANAGER)
(248) 703-4920
Entity
Organization

Contact information

Practice address
26711 WOODWARD AVE STE 208, HUNTINGTON WOODS, MI 48070-1368
(248) 703-4920
(248) 458-4183
Mailing address
26711 WOODWARD AVE STE 208, HUNTINGTON WOODS, MI 48070-1368
(248) 703-4920
(248) 458-4183

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
—
1041C0700X
Clinical Social Worker
Primary
—
—

Other

Enumeration date
12/14/2018
Last updated
12/14/2018
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