Individual
AMANDA LYBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
39319 PLYMOUTH RD, LIVONIA, MI 48150-1059
(313) 629-5796
Mailing address
26283 WICK RD, TAYLOR, MI 48180-3039
(313) 629-5796
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6301018140
MI
Other
Enumeration date
09/17/2019
Last updated
09/17/2019
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