Individual
MARAH LEONIE MISCHAKOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LPC
Contact information
Practice address
29201 TELEGRAPH RD STE 550, SOUTHFIELD, MI 48034
(248) 213-0501
Mailing address
2399 BUCKINGHAM AVE, BERKLEY, MI 48072-1216
(248) 860-9519
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401011055
MI
Other
Enumeration date
10/24/2007
Last updated
09/24/2018
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