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Organization

MINDFUL MOMENTS LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. LATISHA BRABOY PSY.D,LLP.LMSW,ACSW (SOLE PROPRIETOR)
(888) 508-0903
Entity
Organization

Contact information

Practice address
5737 HARVARD RD, DETROIT, MI 48224-2007
(888) 508-0903
Mailing address
5737 HARVARD RD, DETROIT, MI 48224-2007

Taxonomy

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

Other

Enumeration date
07/03/2013
Last updated
01/13/2016
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