Individual
MR. DAVID GERALD RAQUET
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA LMFT, LLP
Contact information
Practice address
409 CHEROKEE DR, FREMONT, MI 49412-1719
(231) 245-7945
(231) 924-1685
Mailing address
409 CHEROKEE DR, FREMONT, MI 49412-1719
(231) 245-7945
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6301014324
MI
106H00000X
Marriage & Family Therapist
4101006243
MI
Other
Enumeration date
03/22/2007
Last updated
06/14/2024
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