Individual
LYNN ANN RADABAUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA LLP
Contact information
Practice address
555 TOWNER ST, YPSILANTI, MI 48198-5752
(734) 891-3401
Mailing address
555 TOWNER ST, YPSILANTI, MI 48198-5752
(734) 891-3401
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6301009725
MI
Other
Enumeration date
04/11/2013
Last updated
04/11/2013
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