Individual
MARGO CHRISTINE RUNKLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
JD, MA
Contact information
Practice address
4265 NILES RD, SAINT JOSEPH, MI 49085-9603
(269) 615-2450
(269) 428-3448
Mailing address
4265 NILES RD, SAINT JOSEPH, MI 49085-9603
(269) 615-2450
(269) 428-3448
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
6301014399
MI
103T00000X
Psychologist
Primary
6301014399
MI
Other
Enumeration date
02/10/2010
Last updated
03/03/2010
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