Individual
ELMA INES LORENZO-BLANCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1551 JONES DR, ANN ARBOR, MI 48105-1871
(734) 383-0917
Mailing address
1551 JONES DR, ANN ARBOR, MI 48105-1871
(734) 383-0917
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
390200000X
MI
Other
Enumeration date
08/29/2008
Last updated
08/29/2008
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