Individual
DAYNA ROOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
23 W 1ST ST, MONROE, MI 48161-2332
(734) 639-2262
Mailing address
1001 S RAISINVILLE RD, MONROE, MI 48161-9754
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301018071
MI
Other
Enumeration date
01/21/2020
Last updated
08/28/2023
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