Individual
MR. LARRY DARNELL POWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.P.C
Contact information
Practice address
9738 SANILAC ST, DETROIT, MI 48224-1250
(313) 320-3797
Mailing address
9738 SANILAC ST, DETROIT, MI 48224-1250
(313) 320-3797
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401010943
MI
Other
Enumeration date
06/25/2012
Last updated
06/25/2012
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