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Organization

SAPLING GROVE PSYCHOLOGY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ASHLEY LUPICO LLP (LIMITED LICENSED PSYCHOLOGIST)
(586) 246-2055
Entity
Organization

Contact information

Practice address
2654 LANTERN LN APT 304, AUBURN HILLS, MI 48326-4204
(586) 246-2055
Mailing address
2654 LANTERN LN APT 304, AUBURN HILLS, MI 48326-4204
(586) 246-2055

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1669719779
MI
Enumeration date
11/04/2022
Last updated
11/04/2022
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