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Individual

ALICIA SEVON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
TLLP

Contact information

Practice address
1777 AXTELL DR STE 100, TROY, MI 48084-4400
(313) 643-5434
Mailing address
5375 CORNELL ST, DEARBORN HEIGHTS, MI 48125-2115
(734) 288-1655

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6362009436
MI

Other

Enumeration date
12/01/2021
Last updated
12/01/2021
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