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Individual

DIANA JASSER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
TLLP

Contact information

Practice address
20411 W 12 MILE RD STE 101, SOUTHFIELD, MI 48076-6404
(866) 703-1901
Mailing address
20411 W 12 MILE RD STE 101, SOUTHFIELD, MI 48076-6404
(866) 703-1901

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6352000383
MI

Other

Enumeration date
10/20/2020
Last updated
10/20/2020
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