Individual
CHARLOTTE ELIZABETH DODD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2350 WASHTENAW AVE STE 3, ANN ARBOR, MI 48104-4526
(173) 473-0734
Mailing address
2350 WASHTENAW AVE STE 3, ANN ARBOR, MI 48104-4526
(734) 730-7348
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
Primary
6301014778
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6301014778
LLP
MI
Enumeration date
05/23/2018
Last updated
05/23/2018
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