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Individual

DR. PAULA M JORNE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHD LPC

Contact information

Practice address
2075 W BIG BEAVER RD STE 520, BIRMINGHAM MAPLE CLINIC, TROY, MI 48084-3407
(248) 646-6659
(248) 646-6659
Mailing address
2075 W BIG BEAVER RD STE 520, BIRMINGHAM MAPLE CLINIC, TROY, MI 48084-3407
(248) 646-6659
(248) 646-6659

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401002802
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1922012400
GROUP NPI
MI
Enumeration date
10/04/2006
Last updated
01/03/2008
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