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G-4511 Miller Road, 2nd Floor Flint MI 48507 | |
| (810) 720-0640 | |
| (810) 720-0640 |
| Full Name | |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | G-4511 Miller Road, 2nd Floor, Flint, Michigan |
| Authorized Official Name and Position | John Burns Ridgeway (SOLE OWNER) |
| Authorized Official Contact | 8107200640 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
G-4511 Miller Road, 2nd Floor Flint MI 48507 Ph: (810) 720-0640 | G-4511 Miller Road, 2nd Floor Flint MI 48507 Ph: (810) 720-0640 |
| NPI Number | 1861412371 |
|---|---|
| Provider Enumeration Date | 07/20/2006 |
| Last Update Date | 11/06/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861412371 | NPI | - | NPPES |
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