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Organization

ABUNDANT WELLNESS, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. AMY LYN LAWRENCE LCSW (OWNER)
(586) 914-5914
Entity
Organization

Contact information

Practice address
23409 JEFFERSON AVE, SUITE 100, SAINT CLAIR SHORES, MI 48080-3449
(586) 914-5914
(313) 458-7128
Mailing address
813 CRESCENT LN, GROSSE POINTE WOODS, MI 48236-2701
(586) 914-5914
(313) 458-7128

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
680190677
MI

Other

Enumeration date
03/18/2014
Last updated
03/18/2014
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