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Individual

JENNIFER L PATTERSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
TLLP

Contact information

Practice address
31500 SCHOOLCRAFT RD, LIVONIA, MI 48150-1805
(734) 422-9340
(734) 422-9353
Mailing address
31500 SCHOOLCRAFT RD, LIVONIA, MI 48150-1805
(734) 422-9340
(734) 422-9353

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6301014160
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
750910681
BCBS
MI
Enumeration date
06/09/2010
Last updated
06/09/2010
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