Outsidethebox Detroit Therapy
NPI #1003631987 in Dearborn Hts, Michigan
Provider Information
- NPI Number
- 1003631987
- Entity Type
- Organization
- Organization Name
- Outsidethebox Detroit Therapy
- Primary Specialty
- Social Worker
- Enumeration Date
- Nov 18, 2024
- Last Updated
- Nov 18, 2024
Practice Location
- Address
- 4131 CLIPPERT ST
- City
- Dearborn Hts
- State
- Michigan
- ZIP Code
- 48125-2732
- Phone
- (313) 680-0019
Authorized Official
- Name
- BRADLEY ALLAN LAKE, LMSW
- Title
- CEO/THERAPIST
- Phone
- (313) 680-0019
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker |
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