Individual
MRS. QUINETTE BOWMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1777 AXTELL DR, TROY, MI 48084-4404
(248) 787-0855
Mailing address
21440 WESTHAMPTON ST, OAK PARK, MI 48237-2791
(313) 952-3764
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
6401017523
MI
101Y00000X
Counselor
Primary
—
—
101YP2500X
Professional Counselor
6401017523
MI
Other
Enumeration date
09/25/2020
Last updated
11/14/2022
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