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Individual

MS. TINA LARAYNE PARKMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.A.

Contact information

Practice address
43825 MICHIGAN AVE, CANTON, MI 48188-2551
(734) 397-3088
Mailing address
29560 THOMAS CT, INKSTER, MI 48141-2813
(248) 991-5779

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6401003666
MI

Other

Enumeration date
11/18/2010
Last updated
11/18/2010
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