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JACQUELYN MARGARET MAYOWSKI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS, LLPC

Contact information

Practice address
125 W LAKE ST, SOUTH LYON, MI 48178-1303
(248) 613-1261
(248) 671-3446
Mailing address
125 W LAKE ST, SOUTH LYON, MI 48178-1303
(248) 613-1261
(248) 671-3446

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6401012620
MI
103K00000X
Behavior Analyst

Other

Enumeration date
10/05/2011
Last updated
05/17/2023
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