Individual
MARY M PRUNEAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
43411 GARFIELD RD STE A, CLINTON TWP, MI 48038-1152
(586) 263-2760
(586) 263-2762
Mailing address
810 NORMANDY RD, ROYAL OAK, MI 48073-5210
(586) 263-2760
(586) 263-2762
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
01/25/2007
Last updated
07/08/2007
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