Individual
JACOB SAMUEL CHMARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LLP
Contact information
Practice address
1603 E 9 MILE RD, FERNDALE, MI 48220-2065
(248) 514-4955
Mailing address
23551 ONEIDA ST, OAK PARK, MI 48237-3701
(248) 330-4129
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6361007813
MI
Other
Enumeration date
09/06/2019
Last updated
03/20/2024
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