Individual
GOLFO K TZILOS WERNETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
200 ARNET ST, SUITE 200, YPSILANTI, MI 48198-5753
(734) 482-6221
Mailing address
3621 S STATE ST, 700 KMS PLACE, ANN ARBOR, MI 48108
(734) 936-2047
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301016359
MI
103TC0700X
Clinical Psychologist
PS01278
RI
Other
Enumeration date
05/23/2008
Last updated
08/16/2017
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