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Organization
HERON RIDGE ASSOCIATES PLC
Active
Organization
HERON RIDGE ASSOCIATES PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELLIOTT RICHELSON (PRESIDENT, SECRETARY,TREASURER)
(904) 605-4986
Entity
Organization
Contact information
Practice address
3300 WASHTENAW AVE STE 265, ANN ARBOR, MI 48104-4200
(734) 822-4810
(734) 822-4811
Mailing address
2550 S TELEGRAPH RD STE 250, BLOOMFIELD HILLS, MI 48302-0909
(248) 322-0003
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
12/26/2019
Last updated
12/30/2022
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