Individual
MRS. MARY MARSHALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FAODP
Contact information
Practice address
91 GLENDALE ST, HIGHLAND PARK, MI 48203-3274
(313) 263-0077
(313) 883-0442
Mailing address
91 GLENDALE ST, HIGHLAND PARK, MI 48203-3274
(313) 263-0077
(313) 883-0442
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
820317
MI
Other
Enumeration date
07/09/2008
Last updated
07/09/2008
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