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Organization
EMILY DODGE THERAPY SERVICES PLLC
Active
Organization
EMILY DODGE THERAPY SERVICES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EMILY DODGE LMSW (CLINICAL SOCIAL WORKER)
(313) 498-6994
Entity
Organization
Contact information
Practice address
3030 IVANREST AVE SW STE 1, GRANDVILLE, MI 49418-2942
(616) 258-6368
Mailing address
3030 IVANREST AVE SW STE 1, GRANDVILLE, MI 49418-2942
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
11/10/2025
Last updated
04/06/2026
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