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Organization
KIRSANOFF PSYCHOTHERAPY PLLC
Active
Organization
KIRSANOFF PSYCHOTHERAPY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LYNELLE MARIE KIRSANOFF LMSW (OWNER/PSYCHOTHERAPIST)
(248) 850-1546
Entity
Organization
Contact information
Practice address
3083 COOLIDGE HWY, BERKLEY, MI 48072-3523
(248) 850-1546
(248) 850-1545
Mailing address
3083 COOLIDGE HWY, BERKLEY, MI 48072-3523
(248) 850-1546
(248) 850-1545
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6801085078
MI
Other
Enumeration date
06/05/2012
Last updated
06/05/2012
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