Individual
MRS. JUSTINE ALEXANDRA BEAUVAIS-NIEZURAWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
89 W SOUTH BLVD, TROY, MI 48085
(800) 693-1916
Mailing address
89 W SOUTH BLVD, TROY, MI 48085-1611
(800) 693-1916
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
6301016349
MI
103T00000X
Psychologist
Primary
6361001388
MI
103TC1900X
Counseling Psychologist
6301016349
MI
Other
Enumeration date
06/11/2014
Last updated
08/04/2022
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