Prodigal Journey, LLC
NPI #1376257303 in Farmington, Michigan
Provider Information
- NPI Number
- 1376257303
- Entity Type
- Organization
- Organization Name
- Prodigal Journey, LLC
- Primary Specialty
- Social Worker - Clinical
- Enumeration Date
- Jan 13, 2023
- Last Updated
- Jan 15, 2023
Practice Location
- Address
- 33234 KINGSLANE CT APT 7
- City
- Farmington
- State
- Michigan
- ZIP Code
- 48336-4054
- Phone
- (313) 702-3136
Authorized Official
- Name
- TODD LOSIE, MATL, MS, LMSW-C
- Title
- CEO
- Phone
- (248) 956-1157
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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