Individual
MS. PHOENIX MACGREGOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. L.L.P.
Contact information
Practice address
26300 OUTER DR, LINCOLN PARK, MI 48146-2019
(313) 388-4630
Mailing address
2146 MONTIE RD, LINCOLN PARK, MI 48146-1232
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301011196
MI
Other
Enumeration date
04/03/2007
Last updated
07/08/2007
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