Individual
JOHN DEVINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1 HERITAGE DR STE 520, SOUTHGATE, MI 48195-3051
(734) 215-9800
Mailing address
1 HERITAGE DR STE 520, SOUTHGATE, MI 48195-3051
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
4101007013
MI
Other
Enumeration date
02/07/2017
Last updated
11/12/2020
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