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Individual

DR. LAURA GAIL NISENSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PH.D.

Contact information

Practice address
425 E WASHINGTON ST, SUITE 101D, ANN ARBOR, MI 48104-2024
(734) 623-0895
Mailing address
425 E WASHINGTON ST, SUITE 101D, ANN ARBOR, MI 48104-2024
(734) 623-0895

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6301009644
MI

Other

Enumeration date
04/29/2008
Last updated
04/29/2008
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