Individual
MORGAN MACKLEM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4600 INVESTMENT DR STE 190, TROY, MI 48098-6365
(248) 353-1234
Mailing address
2834 GOODRICH ST, FERNDALE, MI 48220-1004
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
7501011061
MI
Other
Enumeration date
06/29/2018
Last updated
06/29/2018
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