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Individual

JUANIKA L BENSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
2566 E GRAND BLVD APT 307, DETROIT, MI 48211-2026
(313) 247-4413
Mailing address
2566 E GRAND BLVD APT 307, DETROIT, MI 48211-2026
(313) 247-4413

Taxonomy

Speciality
Code
Description
License number
State
102L00000X
Psychoanalyst
6361003550
MI
103TC0700X
Clinical Psychologist
Primary
6361003550
MI

Other

Enumeration date
03/03/2013
Last updated
07/02/2020
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