Individual
NICOLE DUMOND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LLP
Contact information
Practice address
20300 SUPERIOR RD STE 200, TAYLOR, MI 48180-6303
(734) 785-7700
Mailing address
1562 PROGRESS AVE, LINCOLN PARK, MI 48146-3244
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6361003595
MI
Other
Enumeration date
07/20/2007
Last updated
09/27/2023
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