Individual
JOANNY MARIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
13101 ALLEN RD, SOUTHGATE, MI 48195-2216
(734) 787-5770
Mailing address
817 FAIRHAVEN DR, SOUTH LYON, MI 48178-1879
(248) 978-6933
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6802069335
MI
Other
Enumeration date
09/23/2015
Last updated
09/23/2015
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