Individual
CLAUDIA MARY DEBACKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA LIP CACT
Contact information
Practice address
2 CROCKER BLVD, SUITE 101, MT CLEMENS, MI 48043-2558
(586) 468-2266
(586) 468-4505
Mailing address
2134 ANITA AVE, GROSSE POINTE WOODS, MI 48236-1430
(313) 881-9151
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
6301008890
MI
Other
Enumeration date
04/09/2007
Last updated
07/08/2007
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