Individual
ELIZABETH ANN HABBEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
61341 M 51 # 61341M51, NILES, MI 49120-9134
(708) 738-5128
Mailing address
61341 M 51 # 61341M51, NILES, MI 49120-9134
(708) 738-5128
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
SP0000001010746
MI
Other
Enumeration date
04/01/2021
Last updated
04/01/2021
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