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Individual

MR. REGINALD E MARSACK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LLP

Contact information

Practice address
33101 ANNAPOLIS ST, WAYNE, MI 48184-2405
(734) 721-0200
Mailing address
33054 GRENNADA ST, LIVONIA, MI 48154-4171
(734) 306-4427

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301007086
MI

Other

Enumeration date
03/16/2006
Last updated
07/08/2007
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