Individual
MS. PATRICIA ANN MAKSOUDIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LMFT
Contact information
Practice address
3501 LAKE EASTBROOK BLVD SE, SUITE 280, GRAND RAPIDS, MI 49546-5938
(616) 942-7331
(616) 942-8807
Mailing address
3501 LAKE EASTBROOK BLVD SE, SUITE 280, GRAND RAPIDS, MI 49546-5938
(616) 942-7331
(616) 942-8807
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
4101006187
MI
Other
Enumeration date
01/02/2007
Last updated
07/08/2007
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