Individual
GINA LYNN PALACIOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MLP
Contact information
Practice address
1450 S LAPEER RD, OXFORD, MI 48371-6108
(248) 969-9932
(248) 969-3006
Mailing address
1450 S LAPEER RD, OXFORD, MI 48371-6108
(248) 969-9932
(248) 969-3006
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6301008616
MI
Other
Enumeration date
11/17/2009
Last updated
11/17/2009
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