Individual
MS. JUDITH M BOOKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.P.C.
Contact information
Practice address
2051 W GRAND BLVD, DETROIT, MI 48208-1105
(313) 961-3700
(313) 961-3769
Mailing address
2051 W GRAND BLVD, DETROIT, MI 48208-1105
(313) 961-3700
(313) 961-3769
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401002192
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6401002192
STATE LICENSE
MI
Enumeration date
08/31/2006
Last updated
07/08/2007
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