Individual
MS. KATHLEEN WEEKS MIELKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.,M.A.
Contact information
Practice address
6915 ROCHESTER RD STE 460, TROY, MI 48085-1277
(248) 828-3030
(248) 828-1010
Mailing address
6915 ROCHESTER RD STE 460, TROY, MI 48085-1277
(248) 828-3030
(248) 828-1010
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6301006290
MI
Other
Enumeration date
11/16/2006
Last updated
07/08/2007
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