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Organization
LUNA PSYCH
Active
Organization
LUNA PSYCH
Active
Other names
JENNIFER BERRY
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER BERRY PMHNP (OWNER)
(313) 217-1298
Entity
Organization
Contact information
Practice address
1630 FORT ST, LINCOLN PARK, MI 48146-1902
(313) 217-1298
Mailing address
445 KINGSBURY AVE, DEARBORN, MI 48128-1581
(313) 217-1298
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
01/09/2025
Last updated
01/09/2025
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