JACOB MICHAEL BLANK

FARMINGTON HILLS, MI
NPI1851113724
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy103TC0700X Psychologist, Clinical
(Licence: MI  6352001031)
Enumeration Date2024-10-30
Last Update Date2024-10-30
Business Address
JACOB MICHAEL BLANK
32841 MIDDLEBELT RD STE 403
FARMINGTON HILLS, MI 48334-1714
Phone number: 248-851-7739
Mailing Address
JACOB MICHAEL BLANK
1085 KENYON DR
FORT WASHINGTON, PA 19034-1625
Phone number: 215-816-1395
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