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Organization
INTEGRATED WELLNESS
Active
Organization
INTEGRATED WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NATASHA WILSON LMSW (OWNER)
(313) 689-3076
Entity
Organization
Contact information
Practice address
220 BAGLEY ST, SUITE 1015, DETROIT, MI 48226-1400
(313) 689-3076
Mailing address
PO BOX 442589, DETROIT, MI 48244-2589
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6801092051
MI
Other
Enumeration date
11/15/2016
Last updated
11/15/2016
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