Organization
EVOLVING PERSPECTIVE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE MARIE WASSEL LMSW (OWNER)
(734) 255-3439
Entity
Organization
Contact information
Practice address
308 N MAIN ST, PLYMOUTH, MI 48170-1237
(734) 255-3439
Mailing address
308 N MAIN ST, PLYMOUTH, MI 48170-1237
(734) 255-3439
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
—
—
261Q00000X
Clinic/Center
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
Other
Enumeration date
07/13/2023
Last updated
03/11/2024
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