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Individual

MARK FOX

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
140 MICHIGAN AVE W, BATTLE CREEK, MI 49017-3602
(269) 966-1460
(296) 966-2844
Mailing address
140 MICHIGAN AVE W, BATTLE CREEK, MI 49017-3602
(269) 966-1460
(296) 966-2844

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301008862
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
6301008862
LICENSE #
MI
Enumeration date
07/05/2017
Last updated
07/21/2022
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