Individual
DANIELLE PAULL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
720 W WACKERLY ST STE 11, MIDLAND, MI 48640-2769
(989) 832-2165
Mailing address
PO BOX 2875, MIDLAND, MI 48641-2875
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6352000473
MI
Other
Enumeration date
10/19/2020
Last updated
10/19/2020
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