Individual
MRS. VINATA MAHADEVAN IYER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
215 E BIG BEAVER RD STE 100, TROY, MI 48083-1216
(313) 451-3315
Mailing address
5345 CLEARVIEW DR, TROY, MI 48098-2427
(862) 221-5817
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6401223979
MI
Other
Enumeration date
01/23/2019
Last updated
03/29/2024
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