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Organization

WELLSPRING THERAPEUTIC PARTNERS, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JESSICA R COUCH MA (OWNER/PROVIDER)
(586) 212-8218
Entity
Organization

Contact information

Practice address
42815 GARFIELD RD, SUITE 210, CLINTON TOWNSHIP, MI 48038-1143
(586) 212-8218
(586) 408-6485
Mailing address
42815 GARFIELD RD, SUITE 210, CLINTON TOWNSHIP, MI 48038-1143
(586) 212-8218
(586) 408-6485

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6401011566
MI

Other

Enumeration date
11/25/2014
Last updated
02/04/2016
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