Individual
WILDA MOTLEY-PENN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LLPC
Contact information
Practice address
1025 E FOREST AVE, DETROIT, MI 48207-1024
(313) 833-2853
Mailing address
24526 PINE GRV, FARMINGTON HILLS, MI 48335-2309
(248) 615-3492
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6401011660
MI
Other
Enumeration date
04/23/2014
Last updated
04/23/2014
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