Individual
CASEY LYNN WEBB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
TLLP
Contact information
Practice address
1777 AXTELL DR STE 100, TROY, MI 48084-4400
(248) 787-0855
Mailing address
25916 MARITIME CIR S, HARRISON TWP, MI 48045-3076
(586) 747-2867
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6362008872
MI
Other
Enumeration date
10/18/2020
Last updated
10/18/2020
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