Individual
RACHEL LEIBOVITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA LLP
Contact information
Practice address
4410 W 13 MILE RD, ROYAL OAK, MI 48073-6515
(248) 549-4339
Mailing address
1197 PILGRIM AVE, BIRMINGHAM, MI 48009-1003
(248) 760-5130
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
6301013017
MI
Other
Enumeration date
10/15/2017
Last updated
10/15/2017
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