Individual
NICHOLE MARBURY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LLPC
Contact information
Practice address
13101 ALLEN RD, SOUTHGATE, MI 48195-2216
(734) 785-7700
(734) 287-1953
Mailing address
1406 DESOTO AVE, YPSILANTI, MI 48198-6223
(313) 643-4717
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6401014404
MI
Other
Enumeration date
05/12/2021
Last updated
05/12/2021
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