Individual
MAKENZIE THOMSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LLPC
Contact information
Practice address
1203 N MILFORD RD, MILFORD, MI 48381-1033
(248) 717-3616
Mailing address
189 MONUMENT LN, WIXOM, MI 48393-2701
(248) 872-3662
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6451023530APP24
MI
Other
Enumeration date
02/29/2024
Last updated
02/29/2024
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