Individual
LATONYA E. MALLETT-MCLEMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LLPC, CDF
Contact information
Practice address
4777 E OUTER DR, DETROIT, MI 48234-3241
(313) 369-5013
Mailing address
32455 W 12 MILE RD UNIT 3211, FARMINGTON HILLS, MI 48333-7151
(313) 369-5013
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401009069
MI
Other
Enumeration date
01/13/2009
Last updated
12/18/2020
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