Individual
LATOYA BOURNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6309 MACK AVE, DETROIT, MI 48207-2302
(313) 331-3435
Mailing address
4153 SOMERSET AVE, DETROIT, MI 48224-3462
(313) 989-5116
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
—
MI
171M00000X
Case Manager/Care Coordinator
—
—
374J00000X
Doula
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38236325
—
MI
Enumeration date
02/06/2023
Last updated
03/31/2026
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