Individual
TARA LASHUNDA MAYNIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
G3169 BEECHER RD, FLINT, MI 48532-3611
(616) 301-8000
Mailing address
G3169 BEECHER RD, FLINT, MI 48532-3611
(616) 301-8000
Taxonomy
Speciality
Code
Description
License number
State
103TM1800X
Intellectual & Developmental Disabilities Psychologist
Primary
320600000X
MI
Other
Enumeration date
06/21/2016
Last updated
04/25/2025
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