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Organization

NEW BRANCH ART THERAPY SERVICES LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KATHRYN ELIZABETH WHITLOCK ATR-BC, LPC, CCTP-II (CLINICAL DIRECTOR/OPS MANAGER)
(248) 217-4419
Entity
Organization

Contact information

Practice address
14411 KINGSTON ST, OAK PARK, MI 48237-1141
(248) 217-4419
Mailing address
14411 KINGSTON ST, OAK PARK, MI 48237-1141

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary

Other

Enumeration date
10/15/2024
Last updated
10/15/2024
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