Individual
PAMELA HARGROVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LLPC
Contact information
Practice address
9315 TELEGRAPH RD, REDFORD, MI 48239-1260
(313) 450-4500
(313) 450-4812
Mailing address
9315 TELEGRAPH RD, REDFORD, MI 48239-1260
(313) 450-4500
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6401017132
MI
106S00000X
Behavior Technician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6401017132
—
MI
Enumeration date
06/19/2017
Last updated
03/02/2022
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