Individual
KAREN O'MALLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LLP
Contact information
Practice address
2465 SHAWOOD ST, NOVI, MI 48377-1971
(248) 624-9106
Mailing address
2465 SHAWOOD ST, NOVI, MI 48377-1971
(248) 624-9106
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
L1623073
MI
Other
Enumeration date
09/27/2010
Last updated
09/27/2010
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