Individual
MARY JO GARDNER DENMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LLPC
Contact information
Practice address
13101 ALLEN RD, SOUTHGATE, MI 48195-2216
(734) 785-7700
Mailing address
13660 PEACH ST, SOUTHGATE, MI 48195-1320
(734) 285-7098
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
L2079431
MI
101YS0200X
School Counselor
PV0000000772837
MI
Other
Enumeration date
04/15/2011
Last updated
05/04/2012
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