Individual
MARIANNE KEY-CARNIAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1700 W BIG BEAVER RD STE 200, TROY, MI 48084-3524
(248) 420-6742
Mailing address
150 LANGE DR, TROY, MI 48098-4667
(248) 420-6742
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6301014480
MI
Other
Enumeration date
10/09/2018
Last updated
10/09/2018
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