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Individual

MARTINI HARPER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
4254 W OUTER DR, DETROIT, MI 48221-1462
(313) 283-9476
(313) 283-9476
Mailing address
4254 W OUTER DR, DETROIT, MI 48221-1462
(313) 283-9476

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
82-3488386
MENTAL
MI
Enumeration date
11/22/2017
Last updated
11/22/2017
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