Individual
CHARLES F UPSHAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LLP
Contact information
Practice address
4084 OKEMOS RD, OKEMOS, MI 48864-3258
(517) 347-4848
Mailing address
PO BOX 10, MASON, MI 48854-0010
(517) 676-9788
(517) 676-3438
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6301014814
MI
Other
Enumeration date
06/10/2013
Last updated
06/10/2013
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