Individual
CAROLIN MANN-BOMAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, TLLP
Contact information
Practice address
37079 CHARTER OAKS BLVD, CLINTON TWP, MI 48036-4410
(586) 222-9206
Mailing address
37079 CHARTER OAKS BLVD, CLINTON TWP, MI 48036-4410
(586) 222-9206
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301017998
MI
Other
Enumeration date
08/12/2019
Last updated
08/12/2019
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