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1619166113
MICHAEL D. REGENOLD
DETROIT, MI
NPI
1619166113
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: MI 6301014041)
Enumeration Date
2007-10-20
Last Update Date
2012-05-22
Business Address
Dr. MICHAEL D. REGENOLD Psy.D.
4646 JOHN R ST 11 MH-DOM
DETROIT, MI 48201-1916
Phone number: 313-576-1000
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Mailing Address
Dr. MICHAEL D. REGENOLD Psy.D.
4646 JOHN R ST 11 MH-DOM
DETROIT, MI 48201-1916
Phone number: 313-576-1000
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