JONATHAN LAWRENCE LUNDBLAD

BINGHAM FARMS, MI
NPI1396519005
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy103T00000X Psychologist
(Licence: MI  6362009597)
Enumeration Date2023-11-13
Last Update Date2023-11-13
Business Address
JONATHAN LAWRENCE LUNDBLAD MA
30150 TELEGRAPH RD STE 245
BINGHAM FARMS, MI 48025-4521
Phone number: 800-693-1916
Mailing Address
JONATHAN LAWRENCE LUNDBLAD MA
19738 CARDENE WAY
NORTHVILLE, MI 48167-2931
Phone number: 734-259-9646
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