Individual
MS. MELISSA KANDAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2221 LIVERNOIS RD STE 101, TROY, MI 48083-1603
(248) 544-0360
Mailing address
7340 PARKWAY CT, CANTON, MI 48187-1509
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6301011907
MI
Other
Enumeration date
03/17/2011
Last updated
03/17/2011
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