Organization
BLUE WATER PSYCHOLOGY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HEATHER BADE LMSW (PRESIDENT)
(586) 556-6982
Entity
Organization
Contact information
Practice address
42473 GARFIELD RD, CLINTON TOWNSHIP, MI 48038-1651
(586) 556-6982
Mailing address
42473 GARFIELD RD, CLINTON TOWNSHIP, MI 48038-1651
(586) 556-6982
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
6801095674
MI
Other
Enumeration date
10/14/2016
Last updated
10/14/2016
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