Individual
MS. LINDA MARY LAWRENCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.S.
Contact information
Practice address
22811 MACK AVE, SUITE L-3, SAINT CLAIR SHORES, MI 48080-2021
(586) 777-0470
(586) 777-9879
Mailing address
22811 MACK AVE, SUITE L-3, SAINT CLAIR SHORES, MI 48080-2021
(586) 777-0470
(586) 777-9879
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6301010766
MI
Other
Enumeration date
08/31/2007
Last updated
08/31/2007
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