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Organization
HENRY FORD HEALTH SYSTEM
Active
Organization
HENRY FORD HEALTH SYSTEM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS JUDITH M MALINOWSKI MA LLP (BEHAVIORAL HEALTH THERAPIST)
(313) 317-2000
Entity
Organization
Contact information
Practice address
5111 AUTO CLUB DR, SUITE 112 BLDIG 5, DEARBORN, MI 48126-2749
(313) 317-2000
(313) 317-2090
Mailing address
5111 AUTO CLUB DR, SUITE 112 BLDIG 5, DEARBORN, MI 48126-2749
(313) 317-2000
(313) 317-2090
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
6301007252
MI
Other
Enumeration date
08/22/2011
Last updated
08/22/2011
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