Individual
ANDREA TEOFILOVIC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
315 SPRING ST, BIG RAPIDS, MI 49307-1945
(310) 561-0301
Mailing address
315 SPRING ST, BIG RAPIDS, MI 49307-1945
(310) 561-0301
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
—
—
Other
Enumeration date
05/10/2024
Last updated
05/10/2024
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