Provider Information for 1841737491
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ARCH OF HOPE COUNSELING CENTER
Organization Subpart: NO
NPI: 1841737491
Last Updated: 2017-01-20
Certification Date:
Certification Date:
Details
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NPI | 1841737491 | ||||||||||||||||
Enumeration Date | 2017-01-20 | ||||||||||||||||
NPI Type | NPI-2 Organization | ||||||||||||||||
Status | Active | ||||||||||||||||
Authorized Official Information | Name: LATRENA MARSHALL LPC Title: Professional Counselor Phone: 3135169181 | ||||||||||||||||
Mailing Address | 24614 MARYLAND ST SOUTHFIELD, MI 48075-3046 United States Phone: 313-516-9181 | Fax: | ||||||||||||||||
Primary Practice Address | 24614 MARYLAND ST SOUTHFIELD, MI 48075-3046 United States Phone: 313-516-9181 | Fax: | ||||||||||||||||
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