Organization
TAMARA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CATHY GALLEGOS (MANAGER)
(517) 483-2461
Entity
Organization
Contact information
Practice address
1905 ABBOT RD STE 1, EAST LANSING, MI 48823-8571
(517) 282-8249
Mailing address
1905 ABBOT RD STE 1, EAST LANSING, MI 48823-8571
(517) 282-8249
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
MI
Other
Enumeration date
08/07/2014
Last updated
08/07/2014
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