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Organization
HERON HEALING THERAPY PRACTICE PLLC
Active
Organization
HERON HEALING THERAPY PRACTICE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YANNICK ALEXIS (MEMBER)
(301) 256-4826
Entity
Organization
Contact information
Practice address
15350 N COMMERCE DR STE 204, DEARBORN, MI 48120-1234
(248) 871-7042
Mailing address
15350 N COMMERCE DR STE 204, DEARBORN, MI 48120-1234
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
08/14/2023
Last updated
08/14/2023
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