Individual
KAITLYN TOBIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
443 N STATE ST., CARO, MI 48723
(989) 672-6160
Mailing address
443 N STATE ST, CARO, MI 48723-1539
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301016397
MI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
10/22/2014
Last updated
03/14/2017
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