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Organization

PROGRESSIVE REFLECTION FOR CHANGE, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. KATHLEEN RENE' WADE-JONES LMSW (PRESIDENT)
(269) 350-5661
Entity
Organization

Contact information

Practice address
157 S KALAMAZOO MALL, SUITE 110, KALAMAZOO, MI 49007-4877
(269) 350-5661
(269) 350-5501
Mailing address
151 S ROSE ST, SUITE 617, KALAMAZOO, MI 49007-4792
(269) 350-5661
(269) 350-5501

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
6801087438
MI

Other

Enumeration date
03/16/2015
Last updated
11/11/2015
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