Organization · Type 2 NPI

Mind and Body Holistic Therapy

School Social Worker · Detroit, MI

NPI number 1083990485 Active

Practice location

440 Burroughs St.
Detroit, MI 48202

Mailing address

29 Massachusetts St
Highland Park, MI 48203

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker 1041C0700X6801085560 (MI)
School Social Worker Primary 1041S0200X6801085560 (MI)

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About NPI 1083990485

Mind and Body Holistic Therapy's National Provider Identifier is 1083990485, issued on Oct 30, 2011. The primary taxonomy on file is School Social Worker (1041S0200X), and the practice location is in Detroit, MI. The record was last updated on Oct 30, 2011.