Individual
LEANNA PREVO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
901 CHIPPEWA ST, FLINT, MI 48503-1552
(810) 232-9950
Mailing address
901 CHIPPEWA ST, FLINT, MI 48503-1552
(810) 232-9950
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6401016826
MI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
12/29/2016
Last updated
04/17/2019
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