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Organization
MISSELAINEOUS THERAPY SERVICES
Active
Organization
MISSELAINEOUS THERAPY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELAINE HENDERSHOT LMSW (OWNER/THERAPIST)
(817) 690-3326
Entity
Organization
Contact information
Practice address
5777 W MAPLE RD STE 177, WEST BLOOMFIELD, MI 48322-2306
(216) 206-7313
Mailing address
1906 ALMONT ST, FERNDALE, MI 48220-2072
(817) 690-3326
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
02/08/2024
Last updated
04/03/2024
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