Individual
CAPRICE ELLENE QUINN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6309 MACK AVE, DETROIT, MI 48207-2302
(313) 300-0145
Mailing address
6309 MACK AVE, DETROIT, MI 48207-2302
(313) 300-0145
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401009466
MI
Other
Enumeration date
06/05/2020
Last updated
06/05/2020
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