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Individual
MR. GARLAND WILLIAM BATHERSON
Active
Individual
MR. GARLAND WILLIAM BATHERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MALLP
Taxonomy
Speciality
Code
Description
License number
State
103TF0000X
Family Psychologist
Primary
6301006275
MI
Other
Enumeration date
05/18/2007
Last updated
07/08/2007
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