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Individual

MOLLY LAICH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1134 N CAMPBELL RD APT 101, ROYAL OAK, MI 48067-1537
(253) 833-7444
Mailing address
5524 ROWLEY BLVD, WATERFORD TWP, MI 48329-3243
(248) 736-2989

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LH61036510
WA
101YM0800X
Mental Health Counselor
103T00000X
Psychologist
6362009449
MI

Other

Enumeration date
11/05/2018
Last updated
10/27/2022
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