Individual
MARY ROSE GIROUX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
TLLP
Contact information
Practice address
22516 OVERLAKE ST, ST. CLAIR SHORES, MI 48080
(724) 353-3682
Mailing address
22516 OVERLAKE ST, SAINT CLAIR SHORES, MI 48080-3852
(734) 353-3682
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301016361
MI
Other
Enumeration date
07/28/2015
Last updated
07/28/2015
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