Individual
CHARLY DOLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
323 E GRAND RIVER AVE, HOWELL, MI 48843-2322
(989) 510-7626
Mailing address
27777 INKSTER RD STE 100, FARMINGTON HILLS, MI 48334-5312
(248) 436-4400
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6362009794
MI
Other
Enumeration date
01/27/2021
Last updated
08/23/2023
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