Individual
NICOLE C CLAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3200 GREENFIELD RD STE 300, DEARBORN, MI 48120-1805
(313) 318-8208
Mailing address
PO BOX 442563, DETROIT, MI 48244-2563
(313) 318-8208
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6401017971
MI
Other
Enumeration date
01/26/2020
Last updated
01/26/2020
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