Organization
FULL CIRLCE WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LORI LITTLE MA, LLP (PRESIDENT)
(248) 722-2653
Entity
Organization
Contact information
Practice address
5600 W MAPLE RD STE A110, WEST BLOOMFIELD, MI 48322-3705
(248) 722-2653
(248) 855-4840
Mailing address
5600 W MAPLE RD STE A110, WEST BLOOMFIELD, MI 48322-3705
(248) 722-2653
(248) 855-4840
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
Primary
6301011714
MI
Other
Enumeration date
09/28/2010
Last updated
09/28/2010
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