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Individual

MRS. MARY MARGARET WYSOCKI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MA, LPC

Contact information

Practice address
1450 S LAPEER RD, OXFORD, MI 48371-6108
(248) 969-9932
(248) 969-0950
Mailing address
1450 S LAPEER RD, OXFORD, MI 48371-6108
(248) 969-9932
(248) 969-0950

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6401002634
MI
104100000X
Social Worker
6802046814
IN

Other

Enumeration date
01/20/2009
Last updated
10/28/2009
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