Individual
MRS. ALEXANDRIA GRACE CASE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LLPC
Contact information
Practice address
31700 W 12 MILE RD, SUITE 250, FARMINGTON HILLS, MI 48334-4424
(734) 368-7154
Mailing address
PO BOX 3052, FARMINGTON HILLS, MI 48333-3052
(734) 368-7154
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6401014556
MI
Other
Enumeration date
01/06/2017
Last updated
01/06/2017
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