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Individual

TORI LEE OSBORN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MA LLP

Contact information

Practice address
805 S CARMEL ST, CADILLAC, MI 49601-2344
(231) 775-6517
(231) 775-6587
Mailing address
805 S CARMEL ST, CADILLAC, MI 49601-2344
(231) 775-6517
(231) 775-6587

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6301015697
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
6301015697
STATE OF MICHIGAN
MI
Enumeration date
09/27/2013
Last updated
09/27/2013
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