Individual
DEBRA OWEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2140 E ELLSWORTH RD, ANN ARBOR, MI 48108-2552
(734) 544-3000
(734) 544-6716
Mailing address
555 TOWNER ST, YPSILANTI, MI 48198-5752
(734) 544-3000
(734) 544-6716
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6301009236
MI
Other
Enumeration date
07/29/2015
Last updated
07/29/2015
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