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Individual

LAURA K LEISTER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MS LLP

Contact information

Practice address
2750 S STATE ST, ANN ARBOR, MI 48104-6179
(734) 662-6300
(734) 662-3365
Mailing address
811 HEMPHILL ST, YPSILANTI, MI 48198-3077
(734) 646-0388
(734) 241-6552

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6301011320
MI

Other

Enumeration date
09/11/2006
Last updated
12/18/2019
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