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Individual

MS. JANET MARIE MARRA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MA, LPC

Contact information

Practice address
3701 E 13 MILE RD, SUITE B, WARREN, MI 48092-3795
(586) 274-0200
(586) 274-0228
Mailing address
3701 E 13 MILE RD, SUITE B, WARREN, MI 48092-3795
(586) 274-0200
(586) 274-0228

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
1550446
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
6401006906
LICENSED PROFESSIONAL COUNSELOR
MI
Enumeration date
03/07/2007
Last updated
05/04/2012
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