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Individual

MRS. LYNN VERONICA CONNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MA

Contact information

Practice address
19750 BURT RD, DETROIT, MI 48219-2078
(313) 531-2500
Mailing address
19750 BURT RD, DETROIT, MI 48219-2078
(313) 977-9550

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
6401019193
MI
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
6451019193
MI
101YA0400X
Addiction (Substance Use Disorder) Counselor

Other

Enumeration date
06/21/2021
Last updated
05/04/2022
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