Individual
LAUREN RUTH UNGAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LP
Contact information
Practice address
602 W MICHIGAN AVE, JACKSON, MI 49201-1907
(517) 783-5334
(517) 783-6064
Mailing address
3155 DOLPH DR, ANN ARBOR, MI 48103-2066
(734) 623-4496
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6301010927
MI
Other
Enumeration date
12/13/2006
Last updated
10/08/2010
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