Individual
SIMON LILLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2814 DAVISON AVE, AUBURN HILLS, MI 48326-2030
(248) 895-1879
Mailing address
2814 DAVISON AVE, AUBURN HILLS, MI 48326-2030
(248) 895-1879
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6301015057
MI
Other
Enumeration date
03/06/2012
Last updated
03/06/2012
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