Individual
LISA MARIE FARMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
2006 HOGBACK RD, SUITE A, ANN ARBOR, MI 48105-9750
(734) 786-8092
Mailing address
15822 BRANDT ST, ROMULUS, MI 48174-3211
(734) 223-1995
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
6301013470
MI
Other
Enumeration date
03/07/2007
Last updated
07/08/2007
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