Individual
MARLO ROMAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LLP
Contact information
Practice address
13101 ALLEN RD, SUITE 100, SOUTHGATE, MI 48195-2216
(734) 785-7701
Mailing address
13101 ALLEN RD, SOUTHGATE, MI 48195-2216
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6301011717
MI
Other
Enumeration date
04/04/2007
Last updated
09/09/2013
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