LILLY GLANCY JACOBSON

DETROIT, MI
NPI1053794818
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy103TC0700X Psychologist, Clinical
(Licence: MI  6301016104)
Enumeration Date2015-06-29
Last Update Date2015-06-29
Business Address
Dr. LILLY GLANCY JACOBSON Ph.D.
3901 BEAUBIEN ST
DETROIT, MI 48201-2119
Phone number: 313-832-8480
Mailing Address
Dr. LILLY GLANCY JACOBSON Ph.D.
125 MARTELL DR
BLOOMFIELD HILLS, MI 48304-3447
Phone number: 248-835-4749