Individual
MRS. MAUREEN TARA ANGELI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LLPC
Contact information
Practice address
1410 E 14 MILE RD, MADISON HEIGHTS, MI 48071-1541
(248) 524-8850
Mailing address
8105 ORCHARDVIEW DR, WASHINGTON TWP, MI 48095-1345
(586) 531-8642
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6401009917
MI
Other
Enumeration date
08/01/2011
Last updated
08/01/2011
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