Individual
MRS. AVERY QUINN MITEVSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S. TLLP
Contact information
Practice address
3069 UNIVERSITY DR STE 250, AUBURN HILLS, MI 48326-2388
(248) 564-8050
Mailing address
8671 FOSTER RD, CLARKSTON, MI 48346-1962
(248) 872-3288
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6362006147
MI
Other
Enumeration date
07/10/2020
Last updated
07/10/2020
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