Individual
MARGARET JEAN FEDDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LLPC
Contact information
Practice address
13561 S WEST BAY SHORE DR STE 306, TRAVERSE CITY, MI 49684-6292
(801) 707-4220
Mailing address
10140 E GRANDVIEW CT, TRAVERSE CITY, MI 49684-5310
(801) 707-4220
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6401016802
MI
Other
Enumeration date
09/25/2018
Last updated
09/25/2018
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