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Organization
T3-TRAUMA TO TRIUMPH LLC
Active
Organization
T3-TRAUMA TO TRIUMPH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIONTWANETTE MACK-PARKER LMSW (CEO)
(517) 643-0663
Entity
Organization
Contact information
Practice address
5555 POCASSETT WAY, HOLT, MI 48842-8723
(517) 643-0663
Mailing address
5555 POCASSETT WAY, HOLT, MI 48842-8723
(517) 643-0663
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
06/17/2025
Last updated
01/29/2026
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