Individual
CANDI LYN ROSENBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, JD
Contact information
Practice address
595 FOREST AVE STE 7AND11A, PLYMOUTH, MI 48170-1775
(734) 446-5466
Mailing address
1237 PILGRIM AVE, BIRMINGHAM, MI 48009-4804
(248) 506-6001
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6301018078
MI
Other
Enumeration date
01/05/2020
Last updated
01/05/2020
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