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Organization
HEART 2 HEART REFLECTIONS
Active
Organization
HEART 2 HEART REFLECTIONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NICOLE RENEE WOMACK LMSW (THERAPIST)
(734) 219-5160
Entity
Organization
Contact information
Practice address
8245 HUMMINGBIRD DR, YPSILANTI, MI 48197-6214
(734) 219-5160
Mailing address
8245 HUMMINGBIRD DR, YPSILANTI, MI 48197-6214
(734) 219-5160
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6801082340
STATE OF MICHIGAN BOARD OF SOCIAL WORK
MI
Enumeration date
06/07/2023
Last updated
06/09/2023
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