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Individual

JENNIFER R GENUISE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
42815 GARFIELD RD STE 201, CLINTON TOWNSHIP, MI 48038-1143
(586) 333-5328
Mailing address
30955 MORLOCK ST, LIVONIA, MI 48152-1660
(248) 762-4294

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401018015
MI
101YP2500X
Professional Counselor
6401223258
MI

Other

Enumeration date
05/14/2020
Last updated
04/10/2023
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