MAXINE PEGRAM

TROY, MI
NPI1255866828
Professional NameMAXINE N PEGRAM
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy103TC0700X Psychologist Clinical
(Licence: MI  6301016428)
Enumeration Date2017-04-20
Last Update Date2017-04-24
Business Address
MAXINE PEGRAM
1777 AXTELL DR SUITE 100
TROY, MI 48084-4404
Phone number: 248-385-1193
Mailing Address
MAXINE PEGRAM
1777 AXTELL DR
TROY, MI 48084-4404
Phone number: 248-867-0490