Jennifer Boss Mainka, M.S., L.L.P.

NPI #1417111386 in Brighton, Michigan

Provider Information

NPI Number: 1417111386
Entity Type: Individual
Name: Jennifer Boss Mainka, M.S., L.L.P.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Psychologist - Clinical
Credential: M.S., L.L.P.
Enumeration Date: Jul 10, 2008
Last Updated: Jul 10, 2008

Practice Location

Address: 324 W MAIN ST
Address 2: SUITE 4
City: Brighton
State: Michigan
ZIP Code: 48116-1591
Phone: (810) 227-6218

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist - Clinical — Clinical	103TC0700X	Primary

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