Individual
LYSHAY MCGOWAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1852 W GRAND BLVD, DETROIT, MI 48208-1006
(313) 894-8444
Mailing address
19441 SORRENTO ST, DETROIT, MI 48235-1235
(313) 622-7469
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
06/30/2015
Last updated
06/30/2015
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