Individual
MOLLIE WHITELAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA LLP
Contact information
Practice address
43155 MAIN ST STE H, NOVI, MI 48375-1777
(734) 386-6527
Mailing address
1717 VINSETTA BLVD, ROYAL OAK, MI 48067-1073
(248) 470-3167
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6301007713
MI
Other
Enumeration date
11/22/2017
Last updated
11/22/2017
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