Individual
MRS. SANDRA MARKLEY LEVINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., L.,L.P.
Contact information
Practice address
960 E STATE ST, CASSOPOLIS, MI 49031-9339
(269) 445-2451
(269) 445-3836
Mailing address
2304 BLUE SMOKE TRL, MISHAWAKA, IN 46544-6704
(574) 255-5995
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6301008263
MI
Other
Enumeration date
11/06/2006
Last updated
07/08/2007
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