MICHELLE ELAINE SAMPLE

SOUTHGATE, MI
NPI1861765166
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy251S00000X Community/Behavioral Health
(Licence: MI  6401012299)
Enumeration Date2012-02-16
Last Update Date2012-06-11
Business Address
Mrs. MICHELLE ELAINE SAMPLE MA-LLPC
13101 ALLEN RD
SOUTHGATE, MI 48195-2216
Phone number: 734-785-7700
Mailing Address
Mrs. MICHELLE ELAINE SAMPLE MA-LLPC
24218 GRAND TRAVERSE AVE
BROWNSTOWN, MI 48134-8051
Phone number: 734-642-8658