Individual
KAYLA FERGUSON TROMBLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1777 AXTELL DR STE 100, TROY, MI 48084-4400
(248) 385-1193
Mailing address
3237 W DRAHNER RD, OXFORD, MI 48371-5707
(734) 231-6146
Taxonomy
Speciality
Code
Description
License number
State
103TH0004X
Health Psychologist
Primary
6301017391
MI
Other
Enumeration date
04/06/2018
Last updated
04/06/2018
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