Individual
LATRENA MARSHALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
24614 MARYLAND ST, SOUTHFIELD, MI 48075-3046
(313) 151-6918
Mailing address
24614 MARYLAND ST, SOUTHFIELD, MI 48075-3046
(313) 151-6918
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6401013565
MI
Other
Enumeration date
01/20/2017
Last updated
01/20/2017
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