Individual
JOVONNE POWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
15860 SORRENTO ST, DETROIT, MI 48227-4030
(734) 925-7750
Mailing address
15860 SORRENTO ST, DETROIT, MI 48227-4030
(734) 925-7750
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
MI00003622
MI
Other
Enumeration date
05/08/2024
Last updated
05/08/2024
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