Individual
ATHAL YAKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
18230 TERESA DR, MACOMB, MI 48044-1681
(586) 552-9785
Mailing address
18230 TERESA DR, MACOMB, MI 48044-1681
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6362009114
MI
Other
Enumeration date
10/13/2020
Last updated
10/16/2020
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