Individual
JENNA MARIE GOWER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1777 AXTELL DR STE 100, TROY, MI 48084-4400
(248) 787-0855
Mailing address
525 HUNTLEY AVE, CLAWSON, MI 48017-2319
(269) 290-5537
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6362009094
MI
Other
Enumeration date
02/11/2021
Last updated
02/11/2021
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