Individual
KRISTINE SUSAN DALEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2006 HOGBACK RD, SUITE 100, ANN ARBOR, MI 48105-9750
(734) 786-4936
Mailing address
11446 MORGAN AVE, PLYMOUTH, MI 48170-4437
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301009380
MI
Other
Enumeration date
03/21/2007
Last updated
07/08/2007
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