Individual
MRS. MARIA FAISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LLP
Contact information
Practice address
2615 STADIUM DR, KALAMAZOO, MI 49008-1654
(269) 343-1651
(269) 382-7078
Mailing address
1115 BALL AVE. NE, BUILDING C, GRAND RAPIDS, MI 49505
(616) 459-7215
(616) 451-0020
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6301013928
MI
Other
Enumeration date
01/13/2009
Last updated
10/01/2020
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