Individual
BENITHA WILLEANA SOLOMON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
14190 ST.MARY, DETROIT, MI 48227
(586) 277-9900
Mailing address
14190 ST.MARY, DETROIT, MI 48227
(586) 277-9900
Taxonomy
Speciality
Code
Description
License number
State
103TH0100X
Health Service Psychologist
Primary
MG0564248
MI
Other
Enumeration date
01/31/2023
Last updated
01/31/2023
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