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Individual

MARISA LYNNE PALANCE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.A.

Contact information

Practice address
22451 VACRI LN, FARMINGTON HILLS, MI 48335-3851
(248) 417-9121
Mailing address
22451 VACRI LN, FARMINGTON HILLS, MI 48335-3851
(248) 417-9121

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301014602
MI

Other

Enumeration date
06/10/2013
Last updated
06/10/2013
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