Individual
AUTUMN JAMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LLP
Contact information
Practice address
21056 DEAN ST, WARREN, MI 48091-2760
(586) 806-4678
Mailing address
19936 COUNTRY CLUB DR, HARPER WOODS, MI 48225-1622
(313) 695-6763
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6361007468
MI
Other
Enumeration date
01/31/2022
Last updated
01/31/2022
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