Individual
CARLOS GRADY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LLP
Contact information
Practice address
16001 W 9 MILE RD, SOUTHFIELD, MI 48075-4818
(248) 849-8816
(248) 849-3022
Mailing address
28000 DEQUINDRE RD, WARREN, MI 48092-2468
(586) 753-0405
(586) 753-0404
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6301009201
MI
Other
Enumeration date
12/15/2010
Last updated
12/15/2010
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