Individual
MS. MARY LEONETTE SHEHAN-BOOGAARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
TLLP
Contact information
Practice address
812 E JOLLY RD, SUITE 114, LANSING, MI 48910-6818
(517) 346-9501
(517) 346-8170
Mailing address
812 E JOLLY RD, SUITE 114, LANSING, MI 48910-6818
(517) 346-9501
(517) 346-8170
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6301014515
MI
Other
Enumeration date
02/05/2014
Last updated
02/05/2014
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