Individual
MS. CHRISTINE JO HERGREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LLP, CAAC
Contact information
Practice address
15306 HELEN ST, SOUTHGATE, MI 48195-2068
(313) 475-8888
Mailing address
15306 HELEN ST, SOUTHGATE, MI 48195-2068
(313) 475-8888
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6301013667
MI
Other
Enumeration date
09/24/2007
Last updated
02/25/2010
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