Individual
MARY KATHERINE GILLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
2035 HOGBACK RD, SUITE 207, ANN ARBOR, MI 48105-9732
(734) 972-7202
Mailing address
5220 DEXTER ANN ARBOR RD, ANN ARBOR, MI 48103-1483
(734) 971-5444
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6301013789
MI
Other
Enumeration date
07/03/2015
Last updated
07/08/2015
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