Individual
ELEANOR GRACE JEFFREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
TLLP
Contact information
Practice address
323 E GRAND RIVER AVE, HOWELL, MI 48843-2322
(989) 510-7626
Mailing address
36783 SUNNYDALE ST, LIVONIA, MI 48154-1718
(248) 461-7941
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6362010013
MI
Other
Enumeration date
11/16/2019
Last updated
08/22/2024
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