Individual
MRS. ROBERTA A MARSHALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LLP
Contact information
Practice address
269 N MICHIGAN AVE, BEULAH, MI 49617-9299
(231) 714-4018
Mailing address
PO BOX 2, BEAR LAKE, MI 49614-0002
(231) 714-4018
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6361001838
MI
Other
Enumeration date
09/12/2021
Last updated
09/12/2021
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