Organization
MDS DEVINE COUNSELING SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARILYN DENISE SANDERS LCSW, LMSW (CLINICAL SOCIAL WORKER/ PROPRIETOR)
(248) 796-1217
Entity
Organization
Contact information
Practice address
17336 W 12 MILE RD, 103, SOUTHFIELD, MI 48076-2113
(248) 796-1217
Mailing address
9560 LENORE, REDFORD, MI 48239-1664
(248) 796-1217
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
6801059552
MI
Other
Enumeration date
03/07/2017
Last updated
03/07/2017
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