Individual
LAURA LYNNE MACKIMMIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3300 WASHTENAW AVE STE 205, ANN ARBOR, MI 48104-4200
(734) 913-1093
(734) 369-2683
Mailing address
8501 WERKNER RD, CHELSEA, MI 48118-9127
(734) 645-5201
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6361004082
MI
Other
Enumeration date
04/25/2022
Last updated
04/25/2022
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