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Organization
WHEEL OF LIFE INC
Active
Organization
WHEEL OF LIFE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. BARBARA R SMITH M.S.W. (OWNER)
(734) 459-1179
Entity
Organization
Contact information
Practice address
598 N MILL ST, PLYMOUTH, MI 48170-1420
(734) 459-1179
Mailing address
598 N MILL ST, PLYMOUTH, MI 48170-1420
(734) 459-1179
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6801033753
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8008975280
BCBS OF MICHIGAN
MI
Enumeration date
11/15/2007
Last updated
11/15/2007
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