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1437663499
LIFESPAN NEUROPSYCHOLOGICAL SERVICES, PLLC
BINGHAM FARMS, MI
NPI
1437663499
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Entity Type
Organization
Authorized Contact
AMI ANTONUCCI
Owner
248-690-6993
Organization Subpart ?
No
Primary Taxonomy
103G00000X Clinical Neuropsychologist
Enumeration Date
2017-11-28
Last Update Date
2017-11-28
Business Address
LIFESPAN NEUROPSYCHOLOGICAL SERVICES, PLLC
31600 TELEGRAPH RD STE 250
BINGHAM FARMS, MI 48025-4317
Phone number: 248-690-6993
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Mailing Address
LIFESPAN NEUROPSYCHOLOGICAL SERVICES, PLLC
31600 TELEGRAPH RD STE 250
BINGHAM FARMS, MI 48025-4317
Phone number: 248-690-6993
Copy
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