Individual
KALANI AZARIAH BANKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
210 W HIGHLAND RD STE 102, HIGHLAND, MI 48357-4573
(248) 529-3167
Mailing address
52A WEDGEWOODE LN APT 52A, PONTIAC, MI 48340-2276
(248) 205-6354
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
08/03/2024
Last updated
08/03/2024
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