Individual
MALLORI YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS TLLP
Contact information
Practice address
315 N CENTER ST, NORTHVILLE, MI 48167-1277
(313) 656-4052
Mailing address
925 LAPRAIRIE ST APT 120, FERNDALE, MI 48220-2475
(734) 756-6961
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6362009306
MI
Other
Enumeration date
05/24/2021
Last updated
05/24/2021
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