Individual
LYNNETTE MARIE ELY WHITFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LLPC
Contact information
Practice address
17200 SNOWDEN ST, DETROIT, MI 48235-4148
(313) 207-9347
Mailing address
PO BOX 40214, REDFORD, MI 48240-0214
(313) 207-9347
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6401012411
MI
Other
Enumeration date
10/09/2012
Last updated
10/09/2012
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