Individual
MISS AMY KATHLEEN PRUNEAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LLP
Contact information
Practice address
260 NEPTUNE DR, WALLED LAKE, MI 48390-3661
(248) 821-6485
Mailing address
260 NEPTUNE DR, WALLED LAKE, MI 48390-3661
(248) 821-6485
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
6301014003
MI
Other
Enumeration date
05/06/2011
Last updated
05/06/2011
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