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Individual

TRISIA LEA BAUMGARTNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
TLLP

Contact information

Practice address
39319 PLYMOUTH RD STE 2&6, LIVONIA, MI 48150-1059
(810) 335-0309
Mailing address
23685 GLENCREEK DR, FARMINGTON HILLS, MI 48336-3042

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301017039
MI

Other

Enumeration date
10/26/2018
Last updated
10/26/2018
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