Individual
MRS. MARY BRENNAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
29887 W 11 MILE RD, FARMINGTON HILLS, MI 48336-1309
(248) 474-4701
(248) 474-1518
Mailing address
1250 LAGUNA CT, LAKE ORION, MI 48359-2423
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
SP0000000827920
MI
Other
Enumeration date
11/08/2013
Last updated
11/08/2013
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