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Organization
GROWING WELL CLINICAL THERAPY LLC
Active
Organization
GROWING WELL CLINICAL THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAQUIRA OLIVER LMSW (CLINICAL DIRECTOR/ OWNER)
(313) 899-8408
Entity
Organization
Contact information
Practice address
7800 W OUTER DR STE LL04, DETROIT, MI 48235-3461
(734) 846-5723
(734) 331-3630
Mailing address
PO BOX 734, INKSTER, MI 48141-0734
(734) 846-5723
(734) 331-3630
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
03/08/2021
Last updated
06/04/2025
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