Individual
TIFFANY KAROL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
707 W MILWAUKEE ST, DETROIT, MI 48202-2943
(248) 346-2106
Mailing address
707 W MILWAUKEE ST, DETROIT, MI 48202-2943
(313) 344-9099
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6301013582
MI
Other
Enumeration date
06/12/2007
Last updated
10/20/2021
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