Individual
EBONY LAWSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12800 E WARREN AVE, DETROIT, MI 48215-2061
(313) 824-8000
(313) 824-5589
Mailing address
12800 E WARREN AVE, DETROIT, MI 48215-2061
(313) 824-8000
(313) 824-5589
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301015783
MI
Other
Enumeration date
01/21/2014
Last updated
01/21/2014
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