Individual
MRS. CHARISSE CELESTE BOOKER-ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13101 ALLEN RD, SOUTHGATE, MI 48195-2216
(734) 785-7700
(734) 287-4602
Mailing address
13101 ALLEN RD, SOUTHGATE, MI 48195-2216
(734) 785-7700
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
6802065475
MI
104100000X
Social Worker
Primary
6802065475
MI
Other
Enumeration date
10/03/2012
Last updated
02/26/2014
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