Individual
MS. IJUNANYA OKWUCHI MARCUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
13101 ALLEN RD, BUILDING 4 ENTRANCE F, SOUTHGATE, MI 48195-2216
(734) 785-7701
(734) 287-4602
Mailing address
28842 BURNING TREE LN, ROMULUS, MI 48174-3004
(313) 719-8080
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
164W00000X
Licensed Practical Nurse
Primary
4703126099
MI
Other
Enumeration date
03/15/2012
Last updated
05/04/2022
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