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Organization

LIFE LEARNING INTERVENTION SERVICES LLC

Active
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Organization

LIFE LEARNING INTERVENTION SERVICES LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. TINA DAVIS (ADMINISTRATOR)
(313) 629-7551
Entity
Organization

Contact information

Practice address
18400 SNOWDEN ST, DETROIT, MI 48235-1360
(313) 629-7551
Mailing address
18400 SNOWDEN ST, DETROIT, MI 48235-1360
(313) 629-7551

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
Primary
—
—

Other

Enumeration date
10/23/2017
Last updated
10/23/2017
About Stedi
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  • EDI platform