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1790888352
THERESA I EGAN
SOUTHFIELD, MI
NPI
1790888352
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: MI 6301011944)
Enumeration Date
2006-09-07
Last Update Date
2009-06-24
Business Address
Dr. THERESA I EGAN PhD
17336 W 12 MILE RD STE 101
SOUTHFIELD, MI 48076-2113
Phone number: 586-610-4006
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Mailing Address
Dr. THERESA I EGAN PhD
17336 W 12 MILE RD STE 101
SOUTHFIELD, MI 48076-2113
Phone number: 586-610-4006
Copy
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