Individual
MS. JERRI DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6309 MACK AVE, DETROIT, MI 48207-2302
(586) 864-6588
Mailing address
6309 MACK AVE, DETROIT, MI 48207-2302
(313) 396-5300
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
11/01/2018
Last updated
11/01/2018
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