Individual
MR. LANCE RICHARD KUEBLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.S., T.L.L.P.
Contact information
Practice address
44899 CENTRE CT STE 102, CLINTON TOWNSHIP, MI 48038-5510
(586) 792-1654
(586) 792-1656
Mailing address
15535 LAKESIDE VILLAGE DR APT 306, CLINTON TOWNSHIP, MI 48038-6019
(734) 262-1492
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
L1845892
MI
Other
Enumeration date
09/01/2010
Last updated
09/01/2010
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