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Individual

DEJA MOORE-GRANT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LLPC

Contact information

Practice address
2939 RUSSELL ST, DETROIT, MI 48207-4825
(313) 396-5300
Mailing address
3008 LAWTON ST APT 3A, DETROIT, MI 48216-2301

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6451022348
MI

Other

Enumeration date
09/22/2022
Last updated
09/22/2022
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