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Individual

MICHELLE EDWARDS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LLP

Contact information

Practice address
13101 ALLEN RD, SOUTHGATE, MI 48195-2216
(734) 785-7700
Mailing address
1142 11TH ST, WYANDOTTE, MI 48192-3130
(734) 286-1227

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301014497
MI

Other

Enumeration date
07/24/2012
Last updated
06/14/2019
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