Individual
MARCIE KLEMMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
725 S ADAMS RD, STE 235, BIRMINGHAM, MI 48009-6902
(248) 613-5377
Mailing address
7168 AUTUMN WOOD DR, BRIGHTON, MI 48116-8289
(734) 550-6654
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6301015643
MI
Other
Enumeration date
12/10/2013
Last updated
12/10/2013
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