Individual
DAWN MARIE BURCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LLP
Contact information
Practice address
707 W MILWAUKEE ST, DETROIT, MI 48202-2943
(313) 344-9099
Mailing address
707 W MILWAUKEE ST, DETROIT, MI 48202-2943
(313) 344-9099
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6361003329
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1883825
—
MI
01
—
6361003329
PSYCHOLOGIST
MI
Enumeration date
03/16/2011
Last updated
05/31/2023
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