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Individual

MR. RALPH WILLIAM MCMINN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MA, LPC

Contact information

Practice address
9315 TELEGRAPH RD, REDFORD, MI 48239-1260
(313) 450-4500
(313) 450-4512
Mailing address
15785 LAKESIDE DR APT 2, SOUTHGATE, MI 48195-4646
(734) 771-9928

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
6401002195
MI
101YP2500X
Professional Counselor
Primary
6401002195
MI

Other

Enumeration date
07/25/2012
Last updated
03/09/2022
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