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Organization

MJL THERAPY PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MARK LEVENSON LMSW (OWNER)
(248) 921-1348
Entity
Organization

Contact information

Practice address
5745 WEST MAPLE ROAD SUITE 213, WEST BLOOMFIELD, MI 48322
(248) 921-1348
(734) 207-5326
Mailing address
5745 WEST MAPLE ROAD SUITE 213, WEST BLOOMFIELD, MI 48322
(248) 921-1348
(734) 207-5326

Taxonomy

Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
6801092847
MI

Other

Enumeration date
07/26/2018
Last updated
07/26/2018
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