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Organization
THE CENTER FOR INTENTIONAL LIVING, LLC
Active
Organization
THE CENTER FOR INTENTIONAL LIVING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HILLARY LYNNE SULLINS LMSW (MANAGING DIRECTOR/OWNER)
(248) 345-4927
Entity
Organization
Contact information
Practice address
12700 BOWERS LN, SOUTH LYON, MI 48178-9133
(248) 345-4927
Mailing address
12700 BOWERS LN, SOUTH LYON, MI 48178-9133
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6801096404
MI
Other
Enumeration date
01/20/2017
Last updated
01/20/2017
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