Individual
MS. DENISE LAVENDER JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
22681 WOODWARD AVE UNIT 201114, FERNDALE, MI 48220-7052
(313) 418-1755
Mailing address
22681 WOODWARD AVE UNIT 201114, FERNDALE, MI 48220-7052
(313) 418-1755
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6361000976
MI
104100000X
Social Worker
6802046450
MI
Other
Enumeration date
03/20/2024
Last updated
03/20/2024
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