Organization
COUNSELING AND INTEGRATIVE WELLNESS CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE AUBREY RUNYON LMSW (CLINICIAN)
(248) 355-3977
Entity
Organization
Contact information
Practice address
28222 FRANKLIN RD, SOUTHFIELD, MI 48034-1659
(248) 355-3977
Mailing address
28222 FRANKLIN RD, SOUTHFIELD, MI 48034-1659
(248) 355-3977
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6801085894
MI
Other
Enumeration date
04/24/2007
Last updated
07/18/2007
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