Individual
BARBARA J CANNIZZO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
17131 LEGACY DR, WEST OLIVE, MI 49460-9244
(248) 687-6366
Mailing address
17131 LEGACY DR, WEST OLIVE, MI 49460-9244
(248) 687-6366
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
SP0000000985064
MI
Other
Enumeration date
08/16/2022
Last updated
08/16/2022
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