Individual
MS. PATRICIA E. CONN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LLP
Contact information
Practice address
420 W 5TH AVE, FLINT, MI 48503-2445
(810) 762-5276
Mailing address
16147 HAVILAND BEACH DR, LINDEN, MI 48451-8742
(810) 735-1003
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
L752596
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01002052
—
MI
Enumeration date
07/11/2006
Last updated
07/08/2007
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