Individual
MILDRED DEAN CLAYTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, TLLP
Contact information
Practice address
25507 ECORSE RD, TAYLOR, MI 48180-1555
(313) 292-7640
(313) 292-9270
Mailing address
25507 ECORSE RD, TAYLOR, MI 48180-1555
(313) 292-7640
(313) 292-9270
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6301014637
MI
Other
Enumeration date
09/19/2012
Last updated
09/19/2012
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