Organization
BEHIND THE LINE, LC
Active
Organization
BEHIND THE LINE, LC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JESSICA BALOWSKI LMSW (OWNER)
(734) 642-7365
Entity
Organization
Contact information
Practice address
29915 WEST RD, NEW BOSTON, MI 48164-9473
(734) 642-7365
Mailing address
26216 GIBRALTAR RD UNIT 1072, FLAT ROCK, MI 48134-7738
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
06/01/2022
Last updated
06/01/2022
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