Individual
MRS. MARLENE E. MCGRADY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LLPC, LPN
Contact information
Practice address
6694 SPRING ARBOR RD, JACKSON, MI 49201-9322
(517) 750-3869
Mailing address
2740 REYNOLDS RD, JACKSON, MI 49201-7306
(517) 395-0315
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401009042
MI
Other
Enumeration date
09/17/2010
Last updated
09/17/2010
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