Individual
MS. LATICE RENEE DOWDELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
43828 MEDEA DR, CLINTON TOWNSHIP, MI 48036-1299
(313) 808-5379
Mailing address
24864 GREENBRIER AVE, EASTPOINTE, MI 48021-1473
(313) 445-6440
Taxonomy
Speciality
Code
Description
License number
State
103TH0100X
Health Service Psychologist
Primary
—
—
Other
Enumeration date
11/20/2019
Last updated
11/20/2019
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