Individual
HANNAH KATHERINE WALTERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
13101 ALLEN RD, SOUTHGATE, MI 48195-2216
(734) 717-4497
Mailing address
17613 ENGLISH RD, MANCHESTER, MI 48158-9643
(734) 785-7700
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6301015530
MI
Other
Enumeration date
07/02/2013
Last updated
07/02/2013
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