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Individual

MARIA JONES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHD

Contact information

Practice address
23411 JEFFERSON AVE STE 100, SAINT CLAIR SHORES, MI 48080-1949
(586) 299-1123
Mailing address
23411 JEFFERSON AVE STE 100, SAINT CLAIR SHORES, MI 48080-1949
(586) 299-1123
(586) 279-3864

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301018789
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2846675
OH
Enumeration date
09/01/2016
Last updated
10/12/2021
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