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1720600695
IDENTITY COUNSELING PSYCHOLOGY WEST PLLC
ANN ARBOR, MI
NPI
1720600695
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Entity Type
Organization
Authorized Contact
TIMOTHY WILKINS
Owner
734-545-0332
Organization Subpart ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2020-05-13
Last Update Date
2020-05-13
Business Address
IDENTITY COUNSELING PSYCHOLOGY WEST PLLC
635 S MAPLE RD STE 2
ANN ARBOR, MI 48103-3838
Phone number: 734-645-8944
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Mailing Address
IDENTITY COUNSELING PSYCHOLOGY WEST PLLC
635 S MAPLE RD STE 2
ANN ARBOR, MI 48103-3838
Phone number: 734-645-8944
Copy
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