Individual
MISS BRONWYN MAREA DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LPC
Contact information
Practice address
28491 UTICA RD STE 207, ROSEVILLE, MI 48066-2593
(313) 605-5813
Mailing address
28491 UTICA RD STE 207, ROSEVILLE, MI 48066-2593
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401018273
MI
Other
Enumeration date
07/06/2017
Last updated
09/01/2021
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