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Individual

MS. LAUREN JUSTINE ENFROY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
324 E MAIN ST, NORTHVILLE, MI 48167-7400
(248) 662-5845
Mailing address
33849 ANGELINE AVE, LIVONIA, MI 48150-2695

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6401017648
MI
101Y00000X
Counselor
C.1700511
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1750883872
OH
Enumeration date
03/05/2018
Last updated
11/23/2022
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