Individual
AMELIE MARIE LACOSTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A. L.L.P.
Contact information
Practice address
410 W UNIVERSITY DR, ROCHESTER, MI 48307-1938
(248) 495-9456
Mailing address
2880 TALLAHASSEE DR, ROCHESTER HILLS, MI 48306-3861
(248) 495-9456
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6301014259
MI
Other
Enumeration date
03/23/2010
Last updated
04/28/2023
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