Individual
DR. SHIRLEY ANN MACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D., LPC
Contact information
Practice address
15501 METROPOLITAN PKWY, SUITE 107, CLINTON TOWNSHIP, MI 48036-1684
(586) 263-3880
Mailing address
20466 FLEETWOOD DR, HARPER WOODS, MI 48225-1624
(313) 522-1569
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6401005017
MI
Other
Enumeration date
05/15/2007
Last updated
07/08/2007
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