Individual
LORI DAVISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LPC, NCC
Contact information
Practice address
7370 ELLINGROVE DR, WHITE LAKE, MI 48383-3038
(734) 306-0429
Mailing address
7370 ELLINGROVE DR, WHITE LAKE, MI 48383-3038
(734) 306-0429
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401008960
MI
Other
Enumeration date
09/16/2021
Last updated
11/09/2021
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