Organization
CARMEN REBECCA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARMEN REBECCA SOLLARS LLP (OWNER)
(248) 480-3510
Entity
Organization
Contact information
Practice address
1777 AXTELL DR STE 100, TROY, MI 48084-4400
(248) 480-3510
Mailing address
42160 WOODWARD AVE UNIT 90, BLOOMFIELD HILLS, MI 48304-5161
(248) 480-3510
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Enumeration date
09/17/2024
Last updated
09/25/2024
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