Individual
KATHALINE GARRISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LLPC
Contact information
Practice address
25197 MAPLEBROOKE DR, SOUTHFIELD, MI 48033-7417
(248) 842-9390
Mailing address
25197 MAPLEBROOKE DR, SOUTHFIELD, MI 48033-7417
(248) 842-9390
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
6401016554
MI
Other
Enumeration date
07/25/2018
Last updated
07/25/2018
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