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Organization

BODYWORKS THERAPEUTICS, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. LISA YVONNE CRAWFORD LMT, CMT, CBIS (OWNER/PRACTIONER)
(248) 798-1657
Entity
Organization

Contact information

Practice address
31815 SOUTHFIELD RD, SUITE 16, BEVERLY HILLS, MI 48025-5471
(248) 788-6059
Mailing address
28611 LATHRUP BLVD, LATHRUP VILLAGE, MI 48076-2849
(248) 798-1657

Taxonomy

Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
BUS200600893
MI

Other

Enumeration date
09/28/2007
Last updated
01/31/2017
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