Individual
MS. KATHLEEN J. STAUGAENO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
13101 ALLEN RD, SOUTHGATE, MI 48195-2216
(734) 785-7701
Mailing address
5388 FOREST RIDGE DR, CLARKSTON, MI 48346-3479
(248) 620-1168
(248) 620-1168
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301013278
MI
Other
Enumeration date
07/09/2007
Last updated
07/09/2007
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