Individual
MAGDALINI BIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
31150 HOOVER RD, WARREN, MI 48093-7618
(586) 983-3666
Mailing address
31150 HOOVER RD, WARREN, MI 48093-7618
(586) 983-3666
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
6401007196
MI
103T00000X
Psychologist
Primary
6301010959
MI
Other
Enumeration date
11/14/2018
Last updated
11/14/2018
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