Individual
JUAN RAFAEL ZAVALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LLP
Contact information
Practice address
79 W ALEXANDRINE ST, DETROIT, MI 48201
(313) 831-5535
(313) 831-2608
Mailing address
79 W ALEXANDRINE ST, DETROIT, MI 48201-2015
(313) 831-5535
(313) 831-2608
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301014144
MI
Other
Enumeration date
08/11/2014
Last updated
06/17/2018
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