Individual
MRS. CHRISTINA MARIE BAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., T.L.L.P.
Contact information
Practice address
1308 S MAIN ST, PLYMOUTH, MI 48170-2253
(734) 451-3440
Mailing address
15763 20 MILE RD, MARSHALL, MI 49068-9455
(734) 945-5133
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6301013458
MI
Other
Enumeration date
06/19/2007
Last updated
07/08/2007
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