Individual
XOCHITL CARRASQUEDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LLP
Contact information
Practice address
17177 N. LAUREL PARK DR, 131, LIVONIA, MI 48152
(734) 462-3210
(734) 338-2806
Mailing address
17177 N LAUREL PARK DR STE 131, LIVONIA, MI 48152-3952
(734) 462-3210
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6361007849
MI
Other
Enumeration date
10/21/2014
Last updated
12/28/2023
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