Individual
CARMEN KUEBLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LLP
Contact information
Practice address
21751 ECORSE RD, TAYLOR, MI 48180-1846
(313) 291-7000
(313) 291-0942
Mailing address
21751 ECORSE RD, TAYLOR, MI 48180-1846
(313) 291-7000
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
6301009022
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6301009022
LICENSE
MI
Enumeration date
06/19/2006
Last updated
07/08/2007
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