Individual
ARIELLE SELF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1638 ANNANDALE RD, HOLT, MI 48842-1759
(951) 383-9880
Mailing address
1638 ANNANDALE RD, HOLT, MI 48842-1759
(951) 383-9880
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6362009831
MI
Other
Enumeration date
10/27/2023
Last updated
10/27/2023
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