Individual
JONATHAN ANDREW KRAUSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA, TLLP
Contact information
Practice address
9315 TELEGRAPH RD, REDFORD, MI 48239
(313) 450-4500
Mailing address
9315 TELEGRAPH RD, REDFORD, MI 48239
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301016476
MI
Other
Enumeration date
10/26/2015
Last updated
10/26/2015
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