Individual
MACKENZIE LEE JENUWINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3901 CHRYSLER DR, DETROIT, MI 48201-2167
(313) 993-3964
Mailing address
5425 GULLEN MALL FL 3, DETROIT, MI 48202-3905
(586) 719-3643
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6362010160
MI
Other
Enumeration date
08/26/2025
Last updated
08/26/2025
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