Individual
JOYCELYNN YVONNE GLOVER ELLISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
718 OAK ST, FLINT, MI 48503-2614
(810) 233-8815
(810) 833-8812
Mailing address
106 CHEROKEE RD, PONTIAC, MI 48341-1504
(248) 396-8061
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301017251
MI
Other
Enumeration date
11/02/2017
Last updated
11/02/2017
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