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Organization
EXTRAORDINARY MINDS THERAPY PRACTICE, PLLC
Active
Organization
EXTRAORDINARY MINDS THERAPY PRACTICE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ARIANNA M ZIMMERMAN LMSW, CST (CLINICAL PSYCHOTHERAPIST)
(313) 969-0196
Entity
Organization
Contact information
Practice address
21 KERCHEVAL AVE STE 370, GROSSE POINTE FARMS, MI 48236-3647
(313) 969-0196
Mailing address
21 KERCHEVAL AVE STE 370, GROSSE POINTE FARMS, MI 48236-3647
(313) 969-0196
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
12/10/2024
Last updated
12/10/2024
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