Individual
MARILYN S MICHAEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LLP
Contact information
Practice address
27172 WOODWARD AVE, STE 200, ROYAL OAK, MI 48067-0965
(248) 546-0407
(866) 422-3133
Mailing address
904 FRANK RD, LAKE ORION, MI 48362-1718
(248) 977-2964
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6361001241
MI
Other
Enumeration date
02/02/2021
Last updated
02/02/2021
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