Individual
MS. CHRISTINE MARROCCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
B.A., Q.M.H.P.
Contact information
Practice address
1685 BALDWIN AVE, PONTIAC, MI 48340-1115
(248) 706-3450
(248) 706-3455
Mailing address
1685 BALDWIN AVE, PONTIAC, MI 48340-1115
(248) 706-3450
(248) 706-3455
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
171M00000X
—
MI
Enumeration date
02/25/2014
Last updated
02/25/2014
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