Individual
MRS. MAVIS EMMA BUZZARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LPC
Contact information
Practice address
2609 CROOKS RD, TROY, MI 48084-4714
(248) 274-6193
Mailing address
1443 N BYWOOD AVE, CLAWSON, MI 48017-1101
(586) 354-8858
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401012803
MI
Other
Enumeration date
12/08/2011
Last updated
05/19/2024
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