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Individual

TARA MICHELLE POPE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
TLLP

Contact information

Practice address
29548 SOUTHFIELD RD STE 100, SOUTHFIELD, MI 48076-2028
(313) 603-5823
Mailing address
700 TOBIN DR APT 6, INKSTER, MI 48141-3531
(734) 709-6161

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6362009383
MI
103TC1900X
Counseling Psychologist
6362009383
MI

Other

Enumeration date
08/05/2021
Last updated
08/05/2021
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