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Individual

AMANDA TAYLOR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MS, LLP

Contact information

Practice address
3249 BROAD ST STE 1, DEXTER, MI 48130-1018
(734) 834-5409
Mailing address
3249 BROAD ST # 1, DEXTER, MI 48130-1018
(734) 274-9150

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6361001878
MI

Other

Enumeration date
05/01/2023
Last updated
05/05/2023
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