Individual
JESSICA LEIGH TEEPLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6060 DIXIE HWY STE H, CLARKSTON, MI 48346-3476
(248) 455-6619
Mailing address
6376 YORKSHIRE NORTH RIDING RD, FLINT, MI 48532-3235
(810) 265-6796
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301017761
MI
Other
Enumeration date
04/01/2019
Last updated
04/01/2019
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