Individual
STEPHEN MANGIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, LLP
Contact information
Practice address
42233 ANN ARBOR RD E, PLYMOUTH, MI 48170-4364
(734) 386-0452
Mailing address
42233 ANN ARBOR RD E, PLYMOUTH, MI 48170-4364
(734) 386-0452
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301015135
MI
Other
Enumeration date
01/27/2015
Last updated
11/02/2023
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