Individual
MRS. JACQUELYN JUANITA TOBEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LLP
Contact information
Practice address
650 CHURCH ST RM 313, PLYMOUTH, MI 48170-1689
(734) 215-7202
(856) 997-1717
Mailing address
50256 JACKSON LN, CANTON, MI 48188-3436
(734) 968-6480
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6301012834
MI
Other
Enumeration date
11/07/2011
Last updated
05/10/2021
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