Organization
MILLICENT M PERKINS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MILLICENT M PERKINS PSYD (OWNER)
(269) 344-9490
Entity
Organization
Contact information
Practice address
5930 LOVERS LN, PORTAGE, MI 49002-1673
(269) 344-9490
(269) 344-8696
Mailing address
5930 LOVERS LN, PORTAGE, MI 49002-1673
(269) 344-9490
(269) 344-8696
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Enumeration date
02/19/2019
Last updated
02/19/2019
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