Individual
ALEXIS J TERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LLPC
Contact information
Practice address
5555 CONNER ST STE 2210, DETROIT, MI 48213-3496
(313) 579-4400
(313) 579-4169
Mailing address
5555 CONNER ST STE 2210, DETROIT, MI 48213-3496
(313) 579-4400
(313) 579-4169
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6401014188
MI
Other
Enumeration date
05/08/2018
Last updated
05/08/2018
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