Individual
DR. JUDITH ELLEN MARGERUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
30161 SOUTHFIELD RD, SUITE 312, SOUTHFIELD, MI 48076-1435
(248) 593-4784
(248) 593-6364
Mailing address
30161 SOUTHFIELD RD, SOUTHFIELD, MI 48076-1435
(248) 593-4784
(248) 593-6364
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301005447
MI
Other
Enumeration date
02/14/2007
Last updated
07/09/2007
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