Individual
MS. MARILYN JOY CHRISTENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LLP
Contact information
Practice address
215 N KALAMAZOO AVE, SUITE C, PAW PAW, MI 49079-1321
(269) 655-6740
(269) 655-2950
Mailing address
215 N KALAMAZOO AVE, SUITE C, PAW PAW, MI 49079-1321
(269) 655-6740
(269) 655-2950
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6301007947
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
098509
VALUE OPTIONS
—
Enumeration date
09/29/2006
Last updated
07/08/2007
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