Individual
BEVERLY ANN TULLAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.P.C.
Contact information
Practice address
653 LAKEWOOD DR, SOUTH LYON, MI 48178-1048
(903) 746-7571
Mailing address
653 LAKEWOOD DR, SOUTH LYON, MI 48178-1048
(903) 746-7571
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401002516
MI
Other
Enumeration date
09/09/2016
Last updated
03/03/2017
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