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1922757780
THE ILLUMINATED MIND, PLLC
OKEMOS, MI
NPI
1922757780
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Entity Type
Organization
Authorized Contact
JEFFREY LOUCKS
Owner/Therapist
517-256-3179
Organization Subpart ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
Enumeration Date
2022-03-21
Last Update Date
2022-03-21
Business Address
THE ILLUMINATED MIND, PLLC
4121 OKEMOS RD STE 15
OKEMOS, MI 48864-3220
Phone number: 517-256-3179
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Mailing Address
THE ILLUMINATED MIND, PLLC
4121 OKEMOS RD STE 15
OKEMOS, MI 48864-3220
Phone number: 517-256-3179
Copy
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