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Individual

MARIE D LIBBEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
21751 W 11 MILE RD, SUITE #105, SOUTHFIELD, MI 48076-3712
(248) 327-7175
Mailing address
267 SPENCER ST, FERNDALE, MI 48220-2574
(248) 346-7316

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
4704251238
MI

Other

Enumeration date
11/01/2013
Last updated
05/15/2014
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