Individual
PEARL COWART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
35605 MARGARET APT 19 304, ROMULAS, MI 48174
(248) 559-1763
Mailing address
35805 MARGARET APT 19 304, ROMULAS, MI 48174
(248) 559-1763
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6802071959
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6802071959
STATE LIC
MI
Enumeration date
07/12/2006
Last updated
07/08/2007
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