Willow of Wonder Child & Family Therapy Pllc
NPI #1780107706 in New Baltimore, Michigan
Provider Information
- NPI Number
- 1780107706
- Entity Type
- Organization
- Organization Name
- Willow of Wonder Child & Family Therapy Pllc
- Primary Specialty
- Social Worker - Clinical
- Enumeration Date
- Jul 21, 2017
- Last Updated
- Apr 22, 2024
Practice Location
- Address
- 35218 23 MILE RD
- City
- New Baltimore
- State
- Michigan
- ZIP Code
- 48047-3650
- Phone
- (586) 291-1899
Authorized Official
- Name
- REBECCA KONARZ, LMSW
- Title
- DIRECTOR
- Phone
- (586) 291-1899
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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