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Organization

MIND AND BODY HOLISTIC THERAPY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SHARIFA HARVEY LMSW-SSW (CEO/CLINICAL DIRECTOR)
(313) 422-3109
Entity
Organization

Contact information

Practice address
440 BURROUGHS ST., DETROIT, MI 48202
(313) 422-3109
Mailing address
29 MASSACHUSETTS ST, HIGHLAND PARK, MI 48203
(313) 422-3109

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
6801085560
MI
1041S0200X
School Social Worker
Primary
6801085560
MI

Other

Enumeration date
10/30/2011
Last updated
10/30/2011
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