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Individual

ANITHA MUMMINENI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.S.,L.L.P.

Contact information

Practice address
50889 BRIAR RIDGE LANE, NORTHVILLE, MI 48168-3215
(248) 276-8000
Mailing address
50889 BRIAR RIDGE LN, NORTHVILLE, MI 48168-6878

Taxonomy

Speciality
Code
Description
License number
State
103TM1800X
Intellectual & Developmental Disabilities Psychologist
Primary
6301012843
MI

Other

Enumeration date
11/06/2009
Last updated
02/02/2017
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