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Individual

PALINA DRAKE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
21650 W 11 MILE RD STE 107, SOUTHFIELD, MI 48076-3715
(248) 262-7396
Mailing address
21650 W 11 MILE RD STE 107, SOUTHFIELD, MI 48076-3715
(248) 262-7396

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301014919
MI
103TC0700X
Clinical Psychologist
6301017663
MI

Other

Enumeration date
02/15/2017
Last updated
05/01/2019
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