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PROVISIONAL THERAPY ASSOCIATES
Professional Counselor
NPI: 1831943026Organization
Specialties, Licenses & Credentials
Professional CounselorPrimary
Counselor — Professional
Code: 101YP2500X
Contact & Hours
- Address
- 4241 BRECKENRIDGE DR
WEST BLOOMFIELD, MI 48322 - Phone
- (248) 240-2963
Quick Facts
- NPI
- 1831943026
- Entity Type
- Organization
- Medicare
- Not confirmed
- Specialties
- 1
- Locations
- 1
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