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Individual

JASMINE WAYNE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
17515 W 9 MILE RD STE 975, SOUTHFIELD, MI 48075-4412
(248) 521-5051
Mailing address
17515 W 9 MILE RD STE 975, SOUTHFIELD, MI 48075-4412
(248) 521-5051

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401017725
MI

Other

Enumeration date
10/07/2019
Last updated
04/06/2026
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