Individual
VICKI ROUSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LLP, LLPC
Contact information
Practice address
614 LAURENS WAY, POTTERVILLE, MI 48876-8798
(517) 204-3334
Mailing address
614 LAURENS WAY, POTTERVILLE, MI 48876-8798
(517) 204-3334
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6361002444
MI
Other
Enumeration date
07/19/2022
Last updated
07/19/2022
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