Individual
SANDRA A DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LLPC
Contact information
Practice address
705 S MAIN ST, PLYMOUTH, MI 48170-2089
(734) 454-3560
Mailing address
705 S MAIN ST STE 280, PLYMOUTH, MI 48170-1060
(734) 454-3560
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6451016671
MI
Other
Enumeration date
04/11/2022
Last updated
04/11/2022
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