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Individual

DR. DONNA KHOURY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PSYD

Contact information

Practice address
135 S PROSPECT ST, YPSILANTI, MI 48198-7914
(734) 961-3030
Mailing address
135 S PROSPECT ST, YPSILANTI, MI 48198-7914
(734) 961-3030

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
6401013275
MI
103TC0700X
Clinical Psychologist
Primary
6301016945
MI

Other

Enumeration date
02/02/2017
Last updated
04/12/2017
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