Individual
MS. LATRAYA DENEAN COBB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LLP
Contact information
Practice address
707 W MILWAUKEE ST, DETROIT, MI 48202-2943
(313) 344-9099
Mailing address
707 W MILWAUKEE ST, DETROIT, MI 48202-2943
(313) 344-9099
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301013979
MI
103TC0700X
Clinical Psychologist
6361000375
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6361000375
LLP
MI
Enumeration date
01/04/2011
Last updated
03/29/2022
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