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Individual

TIM WAUN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LLPC

Contact information

Practice address
145 ROCHDALE DR S STE F, ROCHESTER HILLS, MI 48309-2275
(734) 644-9748
Mailing address
318 BUCHNER HILL DR, NORTHVILLE, MI 48167-1249

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6401017622
MI

Other

Enumeration date
11/03/2019
Last updated
11/03/2019
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