Organization
AGEWELL FAMILY COUNSELING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YULIYA GAYDAYENKO LMSW (FOUNDING MEMBER)
(810) 874-0857
Entity
Organization
Contact information
Practice address
167 OLD PERCH RD, ROCHESTER HILLS, MI 48309-2135
(810) 874-0857
Mailing address
167 OLD PERCH RD, ROCHESTER HILLS, MI 48309-2135
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6801089424
MI
Other
Enumeration date
10/24/2014
Last updated
12/26/2014
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