Individual
CAROL C PERSAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
2101 COMMONWEALTH, ANN ARBOR, MI 48105-5188
(800) 525-5188
Mailing address
3621 S STATE ST, 700 KMS PLACE, ANN ARBOR, MI 48108
(734) 936-2047
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6301010854
MI
Other
Enumeration date
11/14/2006
Last updated
06/10/2011
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