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Individual

DR. MARK FREDERICK CARPENTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PH.D.

Contact information

Practice address
1042 N MILFORD RD, SUITE 206, MILFORD, MI 48381-5107
(248) 887-6710
(248) 887-6830
Mailing address
1042 N MILFORD RD, SUITE 206, MILFORD, MI 48381-5107
(248) 887-6710
(248) 887-6830

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6301011772
MI

Other

Enumeration date
08/31/2006
Last updated
05/11/2017
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