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Organization
LIGHT TRANSITIONS THERAPY PLLC
Active
Organization
LIGHT TRANSITIONS THERAPY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CATHY GALLEGOS (CREDENTIALING MANAGE)
(517) 204-1270
Entity
Organization
Contact information
Practice address
2172 COMMONS PKWY STE C-2, OKEMOS, MI 48864-3986
(517) 410-4043
Mailing address
1001 MAPLEHILL AVE, LANSING, MI 48910-4728
(517) 410-4043
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
10/04/2023
Last updated
10/20/2023
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