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Individual

ISABELLA CELESTE DELADURANTAYE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS/PSYS

Contact information

Practice address
15600 19 MILE RD, CLINTON TWP, MI 48038-3502
(586) 263-8700
Mailing address
15354 FORDLINE ST, SOUTHGATE, MI 48195-2082
(734) 934-2614

Taxonomy

Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
PP0000001036118
MI

Other

Enumeration date
09/12/2021
Last updated
09/12/2021
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