Individual
HOLLY J TACEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
TLLP
Contact information
Practice address
1307 S MAIN ST, PLYMOUTH, MI 48170-2217
(734) 451-3440
Mailing address
3040 DALTON DR, COMMERCE TOWNSHIP, MI 48390-3606
(248) 462-1798
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301017658
MI
Other
Enumeration date
10/03/2018
Last updated
10/03/2018
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