Individual
MICHAEL KING DEAGRO JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.S., L.P.C.
Contact information
Practice address
223 W GRANDVIEW PKWY STE 9, TRAVERSE CITY, MI 49684-2277
(231) 946-4006
Mailing address
426 W 7TH ST, TRAVERSE CITY, MI 49684-2431
(231) 946-4006
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401008418
MI
Other
Enumeration date
10/25/2007
Last updated
10/25/2007
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