Individual
ADA MAE CLAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
12800 E WARREN AVE, DETROIT, MI 48215-2061
(313) 824-8000
(313) 824-5589
Mailing address
16333 LOG CABIN ST, DETROIT, MI 48203-2618
(313) 467-2316
(313) 824-5589
Taxonomy
Speciality
Code
Description
License number
State
101YS0200X
School Counselor
Primary
6401001862
MI
Other
Enumeration date
11/08/2017
Last updated
11/08/2017
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