Individual
EUGENE M KROLL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
TLLP
Contact information
Practice address
120 S MAIN ST, SUITE C, MILFORD, MI 48381-1975
(248) 390-5791
Mailing address
120 S MAIN ST, SUITE C, MILFORD, MI 48381-1975
(248) 390-5791
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6301014276
MI
Other
Enumeration date
04/25/2010
Last updated
03/15/2012
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