Individual
JENNIFER Y WEST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, TLLP
Contact information
Practice address
1777 AXTELL DR, TROY, MI 48084-4404
(248) 613-5377
Mailing address
19322 MACARTHUR, REDFORD, MI 48240-2608
(313) 401-7786
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6301016581
MI
Other
Enumeration date
11/23/2018
Last updated
11/23/2018
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