Organization
WISE OLD OWL THERAPY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS ELIZABETH VIOLA CURD MAT/MAC/NCC (OWNER/THERAPIST)
(810) 360-7000
Entity
Organization
Contact information
Practice address
11135 DAWN DR, FOWLERVILLE, MI 48836-9296
(810) 360-7000
Mailing address
11135 DAWN DR, FOWLERVILLE, MI 48836-9296
(810) 360-7000
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
6401016102
MI
Other
Enumeration date
09/05/2017
Last updated
07/21/2022
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