Individual
JENNIFER WASSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LLP
Contact information
Practice address
3200 REMY DR, LANSING, MI 48906-2759
(517) 323-9558
Mailing address
812 E JOLLY RD, SUITE 210, LANSING, MI 48910-6818
(517) 346-8200
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6301014430
MI
Other
Enumeration date
02/07/2013
Last updated
02/07/2013
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