Eugene M Kroll, TLLP

NPI #1922325356 in Milford, Michigan

Provider Information

NPI Number: 1922325356
Entity Type: Individual
Name: Eugene M Kroll, TLLP
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Psychologist
Credential: TLLP
Enumeration Date: Apr 25, 2010
Last Updated: Mar 15, 2012

Practice Location

Address: 120 S MAIN ST
Address 2: SUITE C
City: Milford
State: Michigan
ZIP Code: 48381-1975
Phone: (248) 390-5791

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist	103T00000X	Primary

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