Individual
TANYA N DOULEH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
TLLP
Contact information
Practice address
4415 DUKE ST, KALAMAZOO, MI 49008-3224
(269) 779-6001
Mailing address
4415 DUKE ST, KALAMAZOO, MI 49008-3224
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6301014821
MI
Other
Enumeration date
09/26/2011
Last updated
09/26/2011
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