Individual
TAMIKA LEE DAVIS-MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LLP
Contact information
Practice address
7800 W OUTER DR STE LL30, DETROIT, MI 48235-3461
(248) 299-0030
(248) 299-0030
Mailing address
14225 MONTROSE ST, DETROIT, MI 48227-1781
(313) 629-8600
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6361008018
MI
Other
Enumeration date
07/14/2017
Last updated
07/30/2024
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