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Individual

DR. RICHARD LEE VAUGHN JR.

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
PH.D.

Contact information

Practice address
2494 HIGHRIDGE LN SE, GRAND RAPIDS, MI 49546-7536
(616) 726-2739
Mailing address
2494 HIGHRIDGE LN SE, GRAND RAPIDS, MI 49546-7536
(616) 726-2739

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301002181
MI

Other

Enumeration date
05/27/2006
Last updated
07/08/2007
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