ALICIA ELLEN TISDALE

WEST BLOOMFIELD, MI
NPI1083622914
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy103T00000X Psychologist
(Licence: MI  6301003007)
Enumeration Date2006-08-04
Last Update Date2007-07-08
Business Address
Dr. ALICIA ELLEN TISDALE PhD
5665 W MAPLE RD SUITE A
WEST BLOOMFIELD, MI 48322-3741
Phone number: 248-626-8833
Mailing Address
Dr. ALICIA ELLEN TISDALE PhD
5101 WILLOW POND DR
WEST BLOOMFIELD, MI 48323
Phone number: 248-706-1453
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