Individual
MRS. PUJA SHROFF THORIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LPC
Contact information
Practice address
1 PARKLANE BLVD STE 1200E, DEARBORN, MI 48126
(800) 693-1916
Mailing address
3795 PALISADES BLVD, YPSILANTI, MI 48197-7502
(724) 208-6421
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6401016570
MI
101YP2500X
Professional Counselor
6401016570
MI
101YP2500X
Professional Counselor
PC007530
PA
Other
Enumeration date
10/27/2014
Last updated
08/29/2018
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