Individual
MR. JACOB WESLEY LOWE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
TLLP
Contact information
Practice address
409 PLYMOUTH RD STE 250, PLYMOUTH, MI 48170-1842
(734) 416-9098
Mailing address
409 PLYMOUTH RD STE 250, PLYMOUTH, MI 48170-1842
(734) 416-9098
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6362009744
MI
Other
Enumeration date
03/27/2024
Last updated
03/27/2024
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