Individual
MRS. MICHELLE SANBORN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., TLLP, CAC-M
Contact information
Practice address
709 CEDARLAWN RD, WATERFORD, MI 48328-4009
(248) 425-4166
Mailing address
709 CEDARLAWN RD, WATERFORD, MI 48328-4009
(248) 425-4166
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
L1589327
MI
Other
Enumeration date
09/19/2008
Last updated
03/24/2010
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