Individual
JAMES VINCENT-PATRICK DAGOSTINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA, LLP
Contact information
Practice address
28175 HAGGERTY RD, NOVI, MI 48377-2903
(630) 313-2575
Mailing address
28175 HAGGERTY RD, NOVI, MI 48377-2903
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6361007581
MI
Other
Enumeration date
07/17/2017
Last updated
02/21/2025
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