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1144000753
WILLOW MENTAL WELLNESS
ROYAL OAK, MI
NPI
1144000753
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Entity Type
Organization
Authorized Contact
COREY LARISCY
Owner
313-418-0273
Organization Subpart ?
No
Primary Taxonomy
101YM0800X Counselor Mental Health
Enumeration Date
2023-10-02
Last Update Date
2023-10-02
Business Address
WILLOW MENTAL WELLNESS
513 DETROIT AVE
ROYAL OAK, MI 48073-3692
Phone number: 313-418-0273
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Mailing Address
WILLOW MENTAL WELLNESS
513 DETROIT AVE
ROYAL OAK, MI 48073-3692
Phone number: 313-418-0273
Copy
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