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Individual

MISS MICAHYA DANIELLE BARKLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
19401 NORTHLINE ROAD, BUILDING 5, SOUTHGATE, MI 48195-2216
(734) 800-1953
Mailing address
611 N PIPER CT, DETROIT, MI 48215-3290
(313) 971-7039

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6362010098
MI

Other

Enumeration date
11/14/2022
Last updated
01/08/2025
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