Individual
JEFFREY B ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA, LLP
Contact information
Practice address
35455 GARFIELD RD, # C, CLINTON TOWNSHIP, MI 48035-2236
(586) 792-5335
(586) 792-3061
Mailing address
28000 DEQUINDRE RD, WARREN, MI 48092-2468
(586) 753-0405
(586) 753-0404
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6301011288
MI
Other
Enumeration date
05/12/2009
Last updated
05/12/2009
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