Individual
MR. JEROME ALLEN PRICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.A.
Contact information
Practice address
30233 SOUTHFIELD RD, SUITE 109, SOUTHFIELD, MI 48076-1304
(248) 593-4784
Mailing address
30233 SOUTHFIELD RD, SUITE 109, SOUTHFIELD, MI 48076-1304
(248) 593-4784
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6801014986
MI
106H00000X
Marriage & Family Therapist
4101006072
MI
Other
Enumeration date
09/19/2012
Last updated
09/19/2012
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