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Individual

MS. JOAN RAY AXELROD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
192 N MAIN ST STE C, PLYMOUTH, MI 48170-1236
(734) 788-6970
Mailing address
2007 WASHTENAW AVE, ANN ARBOR, MI 48104-3611
(734) 646-1627

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
928608
MI

Other

Enumeration date
07/16/2008
Last updated
07/16/2008
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