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Individual

DR. SHEILA JOYCE EATON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PH.D.

Contact information

Practice address
31201 CHICAGO RD S, SUITE A102, WARREN, MI 48093-5527
(586) 795-4750
(586) 795-4760
Mailing address
31201 CHICAGO RD S, SUITE A102, WARREN, MI 48093-5527
(586) 795-4750
(586) 795-4760

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6301006308
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0E00067
BLUECROSSBLUE SHIELD
MI
01
103641
VALUE OPTIONS
MI
Enumeration date
01/01/2007
Last updated
07/08/2007
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