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Individual

MARY FRANK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PSYCHOLOGIST

Contact information

Practice address
5675 FAIRVIEW ST, STEVENSVILLE, MI 49127-1033
(269) 429-7727
(269) 429-5754
Mailing address
5675 FAIRVIEW ST, STEVENSVILLE, MI 49127-1033
(269) 429-7727
(269) 429-5754

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6301008271
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
61-30054
PHP ID#
MI
Enumeration date
06/27/2006
Last updated
07/08/2007
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