Individual
DR. MICHELE LYNN MCGRADY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1662 E CENTRE AVE, PORTAGE, MI 49002-4496
(269) 321-8564
Mailing address
1662 E CENTRE AVE, PORTAGE, MI 49002-4496
(269) 321-8564
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
6301014987
MI
Other
Enumeration date
11/11/2011
Last updated
11/11/2011
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