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Organization
THRIVING ENHANCED SERVICES
Active
Organization
THRIVING ENHANCED SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUSTIN T GILLESPIE LMSW-CLINICAL (OWNER/THERAPIST)
(248) 567-2625
Entity
Organization
Contact information
Practice address
751 HARRISON ST, INKSTER, MI 48141-1170
(248) 567-2625
Mailing address
751 HARRISON ST, INKSTER, MI 48141-1170
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
F34831117
—
MI
Enumeration date
09/09/2022
Last updated
09/09/2022
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