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Individual

DR. ELIZABETH A FLEAGLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PSYD

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
6301017180
MI
103TC0700X
Clinical Psychologist
Primary
PSY.0005827
CO
103TH0004X
Health Psychologist
6301017180
MI

Other

Enumeration date
08/28/2017
Last updated
09/21/2022
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