Individual
REILLY CHABIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1777 AXTELL DR STE 100, TROY, MI 48084-4400
(248) 787-0855
Mailing address
35041 DRAKESHIRE LN APT 101, FARMINGTON, MI 48335-3221
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
06/02/2020
Last updated
06/02/2020
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