Individual
JENNIFER BOSS MAINKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., L.L.P.
Contact information
Practice address
324 W MAIN ST, SUITE 4, BRIGHTON, MI 48116-1591
(810) 227-6218
(810) 227-6982
Mailing address
324 W MAIN ST, SUITE 4, BRIGHTON, MI 48116-1591
(810) 227-6218
(810) 227-6982
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301013056
MI
Other
Enumeration date
07/10/2008
Last updated
07/10/2008
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