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Organization

MIA ONLINE THERAPY SERVICES, LLC

Active
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Organization

MIA ONLINE THERAPY SERVICES, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MIRJANA JOVICIC (SOCIAL WORKER- CLINICAL/ THERAPIST)
(313) 409-3120
Entity
Organization

Contact information

Practice address
1259 TERRACE AVE, ADRIAN, MI 49221-1837
(313) 409-3120
Mailing address
1259 TERRACE AVE, ADRIAN, MI 49221-1837
(313) 409-3120

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
101YP2500X
Professional Counselor
1041C0700X
Clinical Social Worker
Primary

Other

Enumeration date
07/26/2021
Last updated
11/03/2024
About Stedi
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