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Organization
MIND GROVE THERAPY SERVICES, PLLC
Active
Organization
MIND GROVE THERAPY SERVICES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREW DANIEL RAJZER LMSW (OWNER/CLINICAL SOCIAL WORKER)
(269) 808-1344
Entity
Organization
Contact information
Practice address
70259 46TH ST, DECATUR, MI 49045-9154
(269) 808-1344
Mailing address
70259 46TH ST, DECATUR, MI 49045-9154
(269) 808-1344
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
03/23/2023
Last updated
03/23/2023
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